Dental Avenue, P.a.
NPI #1750488748 in Richardson, Texas
Provider Information
- NPI Number
- 1750488748
- Entity Type
- Organization
- Organization Name
- Dental Avenue, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jan 11, 2017
Practice Location
- Address
- 300 S COTTONWOOD DR
- Address 2
- SUITE #F
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-5751
- Phone
- (214) 703-0044
Authorized Official
- Name
- EMILY SOO, D.D.S.
- Title
- PRESIDENT
- Phone
- (214) 703-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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