Professional Dental Alliance of Tx 43002 Pllc
NPI #1124631213 in Flower Mound, Texas
Provider Information
- NPI Number
- 1124631213
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Tx 43002 Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 28, 2020
- Last Updated
- Aug 28, 2020
Practice Location
- Address
- 6050 LONG PRAIRIE RD STE 100
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028-5613
- Phone
- (972) 587-0887
Authorized Official
- Name
- LAUREN HOWARD
- Title
- CREDENTIALING SPECIALIST
- Phone
- (757) 576-5479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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