DR. Carl Michael Mentesana, DDS

NPI #1245645175 in Richardson, Texas

Provider Information

NPI Number: 1245645175
Entity Type: Individual
Name: DR. Carl Michael Mentesana, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Jun 30, 2014
Last Updated: Oct 23, 2020

Practice Location

Address: 291 RENNER PKWY STE 103
City: Richardson
State: Texas
ZIP Code: 75080-1342
Phone: (214) 738-6049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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