Panache Dental, Pllc Rascheda D Long Sole Mbr

NPI #1437419587 in Allen, Texas

Provider Information

NPI Number: 1437419587
Entity Type: Organization
Organization Name: Panache Dental, Pllc Rascheda D Long Sole Mbr
Primary Specialty: Dentist - General Practice
Enumeration Date: May 23, 2012
Last Updated: Jan 14, 2013

Practice Location

Address: 977 GARDEN PARK DR
City: Allen
State: Texas
ZIP Code: 75013-3742
Phone: (214) 383-9406

Authorized Official

Name: DR. RASCHEDA DENISE LONG, D.D.S.
Title: GENERAL DENTIST
Phone: (214) 383-9406

Specialties & Taxonomy Codes

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

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