| Celebrity Dental & Orthodontics Pllc | |
|
817 W Jefferson Blvd Ste 2 Dallas TX 75208-4924 | |
| (469) 930-8280 | |
| (855) 541-0586 |
| Full Name | Celebrity Dental & Orthodontics Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 817 W Jefferson Blvd, Dallas, Texas |
| Authorized Official Name and Position | Becky Espinoza (OFFICE MANAGER) |
| Authorized Official Contact | 8177853290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebrity Dental & Orthodontics Pllc 10711 Strait Ln Dallas TX 75229-5428 Ph: (214) 253-2402 | Celebrity Dental & Orthodontics Pllc 817 W Jefferson Blvd Ste 2 Dallas TX 75208-4924 Ph: (469) 930-8280 |
| NPI Number | 1720523186 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 03/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720523186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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