Jacktone Ombayo

NPI #1659684926 in Amarillo, Texas

Provider Information

NPI Number: 1659684926
Entity Type: Individual
Name: Jacktone Ombayo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 15, 2010
Last Updated: Jul 15, 2010

Practice Location

Address: 2210 BELL ST
City: Amarillo
State: Texas
ZIP Code: 79106-4602
Phone: (806) 553-5079

Specialties & Taxonomy Codes

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

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