Dental Health Associates of Texas, PC

NPI #1033606694 in Desoto, Texas

Provider Information

NPI Number
1033606694
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
Apr 19, 2018
Last Updated
Apr 19, 2018

Practice Location

Address
1001 N BECKLEY
City
Desoto
State
Texas
ZIP Code
75115
Phone
(972) 224-5397

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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