| Northeast Dallas Dentistry, Pc | |
|
6401 East Northwest Highway Suite 100 Dallas TX 75231 | |
| (214) 302-0807 | |
| Not Available |
| Full Name | Northeast Dallas Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 6401 East Northwest Highway, Dallas, Texas |
| Authorized Official Name and Position | Olivia Santillan (DDS/OWNER) |
| Authorized Official Contact | 2143020807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dallas Dentistry, Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8201 | Northeast Dallas Dentistry, Pc 6401 East Northwest Highway Suite 100 Dallas TX 75231 Ph: (214) 302-0807 |
| NPI Number | 1003383373 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003383373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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› Verified 9 days ago
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