Tu Dentista PC

NPI #1033494711 in Dallas, Texas

Provider Information

NPI Number: 1033494711
Entity Type: Organization
Organization Name: Tu Dentista PC
Primary Specialty: Dentist
Enumeration Date: Oct 13, 2011
Last Updated: Oct 13, 2011

Practice Location

Address: 4101 ROSS AVE
Address 2: 300
City: Dallas
State: Texas
ZIP Code: 75204-5138
Phone: (214) 431-3727

Authorized Official

Name: DR. JAMES M JERNIGAN, D.D.S
Title: OWNER / PROVIDER
Phone: (214) 431-3727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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