| El Dorado Dental Pllc | |
|
4685 Eldorado Pkwy Frisco TX 75033-0288 | |
| (214) 618-5450 | |
| Not Available |
| Full Name | El Dorado Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4685 Eldorado Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado Dental Pllc Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | El Dorado Dental Pllc 4685 Eldorado Pkwy Frisco TX 75033-0288 Ph: (214) 618-5450 |
| NPI Number | 1386142602 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386142602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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