Plano Dental Imaging, Pllc

NPI #1942550686 in Plano, Texas

Provider Information

NPI Number: 1942550686
Entity Type: Organization
Organization Name: Plano Dental Imaging, Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 10, 2012
Last Updated: Sep 10, 2012

Practice Location

Address: 5509 PLEASANT VALLEY DR
Address 2: SUITE 700
City: Plano
State: Texas
ZIP Code: 75023
Phone: (972) 612-7100

Authorized Official

Name: DR. WILLIAM M BOLAK, DMD
Title: MANAGER
Phone: (972) 612-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Radiology — Oral and Maxillofacial Radiology	1223X0008X
Dentist	122300000X	Primary

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