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214 Dental PLLC

Dentist, General Practice in Grand Prairie, TX. Organization (NPI-2).

NPI number1336738376
StatusActive
Last updated in NPPESJan 14, 2021

Details

NPI
1336738376
Entity type
Organization (NPI-2)
Legal business name
214 Dental PLLC
Organization subpart
No
Enumeration date
Jan 14, 2021
Certification date
Jan 1, 2021
Last updated
Jan 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

2580 W Camp Wisdom Rd Ste 300
Grand Prairie, TX 75052-3091

Phone 972-408-0408

Mailing address

4116 Saguaro Ln
Irving, TX 75063-1242

Phone 026-749-5739

Authorized official

Nilam Patel
Owner
2674957393

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