Picasso Dental-Corsicana Pllc

NPI #1770892648 in Irving, Texas

Provider Information

NPI Number: 1770892648
Entity Type: Organization
Organization Name: Picasso Dental-Corsicana Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 27, 2010
Last Updated: Sep 27, 2010

Practice Location

Address: 7301 STATE HIGHWAY 161
Address 2: SUITE 198
City: Irving
State: Texas
ZIP Code: 75039-2816
Phone: (972) 869-3789

Authorized Official

Name: MARY PU
Title: CFO
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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