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Basin Dental Suite Pllc
Dental Clinic/Center in Odessa, Texas
NPI 1952974461

Basin Dental Suite Pllc is a Dental Clinic/Center based in Midland, TX and is specialized in Dental. Basin Dental Suite Pllc practices in Odessa, TX. The NPI Number for Basin Dental Suite Pllc is 1952974461 and holds a License No. (Texas).

The current practice location address for Basin Dental Suite Pllc is 631 E 42Nd Street, Odessa, TX and can be reached out via phone at 432-260-9636.

Location: 631 E 42Nd Street, Odessa, TX, 79705-2253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952974461
Provider Name
Basin Dental Suite Pllc
Credential
Provider Entity Type
Organization
Address
631 E 42Nd Street, Odessa, TX, 79705-2253
Phone Number
432-260-9636
Fax Number
Provider Enumeration Date
07/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
631 E 42Nd Street
City
Odessa
State
Texas
Zip
79762-7721
Phone Number
432-260-9636
Fax Number
person
Provider Business Mailing Address Details
Address
631 E 42Nd Street
City
Odessa
State
Texas
Zip
79762-7721
Phone Number
432-260-9636
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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