Basin Pediatric Dentistry

NPI #1982970109 in Andrews, Texas

Provider Information

NPI Number
1982970109
Entity Type
Organization
Organization Name
Basin Pediatric Dentistry
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 2, 2012
Last Updated
Apr 18, 2012

Practice Location

Address
711 HOSPITAL DR
State
Texas
ZIP Code
79714-3616
Phone
(432) 523-3194

Authorized Official

Name
DR. ZACHARY ELLIS, DDS
Title
PEDIATRIC DENTIST
Phone
(210) 275-2214

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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