Dental Professionals of Texas, P.a.

NPI #1043712037 in Plano, Texas

Provider Information

NPI Number
1043712037
Entity Type
Organization
Organization Name
Dental Professionals of Texas, P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL PROFESSIONALS OF TEXAS, P.A.
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 6, 2018
Last Updated
Mar 6, 2018

Practice Location

Address
5044 TENNYSON PKWY STE A
City
Plano
State
Texas
ZIP Code
75024-2953
Phone
(972) 378-3601

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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