Farwell Dental Clinic

NPI #1891127221 in Farwell, Texas

Provider Information

NPI Number: 1891127221
Entity Type: Organization
Organization Name: Farwell Dental Clinic
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 8, 2013
Last Updated: Aug 8, 2013

Practice Location

Address: 303 3RD ST
City: Farwell
State: Texas
ZIP Code: 79325-4669
Phone: (806) 481-3336

Authorized Official

Name: DR. JOYCE ROE IVINS JR., D.D.S.
Title: OWNER
Phone: (806) 481-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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