Dental Professionals Of Texas, P.A.
Dentist, General Practice in Dallas, TX. Organization (NPI-2).
NPI number1114453081
StatusActive
Last updated in NPPESJun 26, 2017
Details
- NPI
- 1114453081
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professionals Of Texas, P.A.
- Organization subpart
- Yes
- Enumeration date
- May 11, 2017
- Last updated
- Jun 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Energy Square Dental (Doing Business As)
Practice location
4849 Greenville Ave Ste 173Dallas, TX 75206-4187
Phone 214-369-9966
Mailing address
4849 Greenville Ave Ste 173Dallas, TX 75206-4187
Phone 217-540-8972
Authorized official
Cassandra Nichole Teutsch
Credentialing Coordinator
2175408972
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