110 Dentistry & Orthodontics Pllc
NPI #1477143444 in Whitehouse, Texas
Provider Information
- NPI Number
- 1477143444
- Entity Type
- Organization
- Organization Name
- 110 Dentistry & Orthodontics Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2021
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 308 HWY 110 N STE A
- City
- Whitehouse
- State
- Texas
- ZIP Code
- 75791-3112
- Phone
- (972) 590-8809
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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