Jsl Dental, Pllc

NPI #1750559498 in Midland, Texas

Provider Information

NPI Number: 1750559498
Entity Type: Organization
Organization Name: Jsl Dental, Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 15, 2008
Last Updated: Feb 15, 2008

Practice Location

Address: 100 N N ST
City: Midland
State: Texas
ZIP Code: 79701-6409
Phone: (432) 682-1614

Authorized Official

Name: DR. THOMAS A. YOUNGBLOOD, D.D.S.
Title: MANAGER
Phone: (432) 682-1614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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