Permian Basin Dental Center

NPI #1952786402 in Midland, Texas

Provider Information

NPI Number: 1952786402
Entity Type: Organization
Organization Name: Permian Basin Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 27, 2015
Last Updated: Jul 27, 2015

Practice Location

Address: 1411 W WALL ST
City: Midland
State: Texas
ZIP Code: 79701-6523
Phone: (432) 687-0629

Authorized Official

Name: TYE ALAN THOMPSON, DDS
Title: OWNER
Phone: (432) 687-0629

Specialties & Taxonomy Codes

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

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