Jupiter Dental Group Pllc

NPI #1033546320 in Dallas, Texas

Provider Information

NPI Number: 1033546320
Entity Type: Organization
Organization Name: Jupiter Dental Group Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 1, 2013
Last Updated: Feb 26, 2014

Practice Location

Address: 11000 GARLAND RD
City: Dallas
State: Texas
ZIP Code: 75218-2615
Phone: (214) 328-4867

Authorized Official

Name: DR. STEVEN COFFMAN, DMD
Title: PRESIDENT
Phone: (702) 300-7886

Specialties & Taxonomy Codes

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

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