Denison Dental-Denison PLLC
Dentist, General Practice in Denison, TX. Organization (NPI-2).
NPI number1619440211
StatusActive
Last updated in NPPESJan 7, 2019
Details
- NPI
- 1619440211
- Entity type
- Organization (NPI-2)
- Legal business name
- Denison Dental-Denison PLLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2019
- Last updated
- Jan 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3515 W Fm 120 Ste 109Denison, TX 75020-1556
Phone 903-337-0717 · Fax 903-337-0727
Mailing address
1261 W Green Oaks Blvd Ste 101Arlington, TX 76013-8349
Authorized official
Tee Semera
Credentialing
4695569000
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