Organization Name: | DANIEL P. WEST, DDS |
NPI Number: | 1235558511 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA H. WEST (OFFICE MANAGER) |
Mailing Address: | 1401 E 1st St Dumas |
State: | TX US |
Postal Code: | 790293501 |
Phone Number: | 8069352725 |
Fax Number: | 8069352680 |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 14377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |