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Dental Implant Surgery Center

NPI #1134158330 in Plano, Texas

Provider Information

NPI Number
1134158330
Entity Type
Organization
Organization Name
Dental Implant Surgery Center
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jul 1, 2006
Last Updated
May 4, 2009

Practice Location

Address
7965 CUSTER ROAD
Address 2
SUITE 114
City
Plano
State
Texas
ZIP Code
75025-3155
Phone
(972) 527-4867

Authorized Official

Name
DR. EDWARD A SHINEDLING, DDS, MS
Title
PRINCIPAL SURGEON, PRESIDENT
Phone
(972) 527-4867

Specialties & Taxonomy Codes

Specialty
Dentist - Periodontics — Periodontics

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