Professional Dental Alliance of Texas, Pllc

NPI #1992306328 in Watauga, Texas

Provider Information

NPI Number: 1992306328
Entity Type: Organization
Organization Name: Professional Dental Alliance of Texas, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 7748 DENTON HWY
City: Watauga
State: Texas
ZIP Code: 76148-2463
Phone: (817) 581-2100

Authorized Official

Name: LAUREN HOWARD
Title: CREDENTIALING SPECIALIST
Phone: (757) 576-5479

Specialties & Taxonomy Codes

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

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