Northeast Dallas Dental Associates, Pllc

NPI #1932566213 in Mansfield, Texas

Provider Information

NPI Number: 1932566213
Entity Type: Organization
Organization Name: Northeast Dallas Dental Associates, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 18, 2016
Last Updated: Jan 23, 2018

Practice Location

Address: 1560 E DEBBIE LN STE 108
City: Mansfield
State: Texas
ZIP Code: 76063-8575
Phone: (817) 453-8520

Authorized Official

Name: DR. LEVY T DO, DDS
Title: PRESIDENT
Phone: (405) 633-3396

Specialties & Taxonomy Codes

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

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