14th Street Dental
Dentist, General Practice in Plano, TX. Organization (NPI-2).
NPI number1588051395
StatusActive
Last updated in NPPESApr 20, 2015
Details
- NPI
- 1588051395
- Entity type
- Organization (NPI-2)
- Legal business name
- 14th Street Dental
- Organization subpart
- No
- Enumeration date
- Apr 20, 2015
- Last updated
- Apr 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 25735 | TX | Yes |
Other names
- Sol River (Other Name)
Practice location
1900 14th StSuite C
Plano, TX 75074-6426
Phone 940-808-1970 · Fax 855-731-5147
Mailing address
Po Box 674330Dallas, TX 75267-4330
Phone 940-808-1970 · Fax 855-731-5147
Authorized official
Craig F Copeland
Owner
9408081970
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