Perla Dental of Desoto

NPI #1790911691 in Southlake, Texas

Provider Information

NPI Number: 1790911691
Entity Type: Organization
Organization Name: Perla Dental of Desoto
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 5, 2009
Last Updated: Jun 5, 2009

Practice Location

Address: 1801 LANTANA CT
City: Southlake
State: Texas
ZIP Code: 76092-3571
Phone: (972) 223-3500

Authorized Official

Name: JAYESHA HUSSAIN, DDS
Title: OWNER
Phone: (972) 223-3500

Specialties & Taxonomy Codes

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

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