is a Dentist in Richardson, Texas. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1639389158. The last update date is .
's current location address is 702 W Arapaho Rd, Richardson, Texas. You can contact this provider via phone number 9724700236 and fax number 9726444068. The mailing address for is 702 W Arapaho Rd, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 702 W Arapaho Rd, Richardson, Texas |
| Phone Number | 9724700236 |
| Fax Number | 9726444068 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639389158 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 702 W Arapaho Rd |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750804154 |
| Phone Number | 9724700236 |
| Fax Number | 9726444068 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19676 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19676 | TX | TX.LIC.NO. |
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