Standard Dental Alliance, PLLC.
Dentist in Terrell, TX. Organization (NPI-2).
NPI number1376838136
StatusActive
Last updated in NPPESNov 2, 2011
Details
- NPI
- 1376838136
- Entity type
- Organization (NPI-2)
- Legal business name
- Standard Dental Alliance, PLLC.
- Organization subpart
- No
- Enumeration date
- Jun 9, 2011
- Last updated
- Nov 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Legacy Dental (Doing Business As)
Practice location
1405 W Moore AveTerrell, TX 75160-2303
Phone 972-563-8383
Mailing address
1405 W Moore AveTerrell, TX 75160-2303
Phone 972-563-8383
Authorized official
Michael G. Heffelfinger
Dentist
9725638383
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