Tesla Dental Implant LLC

NPI #1487398285 in Keller, Texas

Provider Information

NPI Number
1487398285
Entity Type
Organization
Organization Name
Tesla Dental Implant LLC
Primary Specialty
Dentist - Orofacial Pain
Enumeration Date
Apr 27, 2022
Last Updated
Apr 27, 2022

Practice Location

Address
151 RIDGE POINT PKWY STE 400
City
Keller
State
Texas
ZIP Code
76248-8801
Phone
(817) 835-6955

Authorized Official

Name
PROF. SAM WISE, DDS, MOM, MSC, MDS
Title
OWNER
Phone
(973) 747-6425

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Clinic/Center - RadiologyRadiology
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Clinic/Center - Sleep Disorder DiagnosticSleep Disorder Diagnostic
Dental Laboratory
Dentist - Orofacial PainOrofacial Pain

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