Northeast Dallas Dentistry, PC

NPI #1003383373 in Dallas, Texas

Provider Information

NPI Number: 1003383373
Entity Type: Organization
Organization Name: Northeast Dallas Dentistry, PC
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2018
Last Updated: Oct 25, 2018

Practice Location

Address: 6401 EAST NORTHWEST HIGHWAY
Address 2: SUITE 100
City: Dallas
State: Texas
ZIP Code: 75231
Phone: (214) 302-0807

Authorized Official

Name: DR. OLIVIA SANTILLAN, DDS
Title: DDS/OWNER
Phone: (214) 302-0807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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