Dental Health Associates of Texas, PC

NPI #1023521309 in Waco, Texas

Provider Information

NPI Number: 1023521309
Entity Type: Organization
Organization Name: Dental Health Associates of Texas, PC
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 9, 2017
Last Updated: Nov 9, 2017

Practice Location

Address: 715 N 64TH ST
City: Waco
State: Texas
ZIP Code: 76710-4387
Phone: (254) 772-3922

Authorized Official

Name: CASSANDRA PETERSEN
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8972

Specialties & Taxonomy Codes

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

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