Amarillo Dental Associates

NPI #1356517650 in Amarillo, Texas

Provider Information

NPI Number: 1356517650
Entity Type: Organization
Organization Name: Amarillo Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: May 6, 2008
Last Updated: May 26, 2011

Practice Location

Address: 4525 VAN WINKLE
City: Amarillo
State: Texas
ZIP Code: 79119
Phone: (806) 355-7463

Authorized Official

Name: MICHAEL D VACLAV, DDS
Title: PARTNER
Phone: (806) 355-7463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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