Aduddell Dentistry PLLC
Dentist in Plano, TX. Organization (NPI-2).
NPI number1659803112
StatusActive
Last updated in NPPESApr 3, 2017
Details
- NPI
- 1659803112
- Entity type
- Organization (NPI-2)
- Legal business name
- Aduddell Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2017
- Last updated
- Apr 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D28976 | TX | Yes |
Practice location
1300 Medical Ave Ste 101Plano, TX 75075-7798
Phone 972-985-4765
Mailing address
1300 Medical Ave Ste 101Plano, TX 75075-7798
Authorized official
Kevin Aduddell
Manager
9729854765
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