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300 S Cottonwood Drive Suite B Richardson TX 75080 | |
| (214) 307-4755 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 S Cottonwood Drive, Richardson, Texas |
| Authorized Official Name and Position | Mahesh Gondi (MANAGING DIRECTOR) |
| Authorized Official Contact | 2143074755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 S Cottonwood Dr Suite-b Richardson TX 75080-5751 Ph: (214) 307-4755 | 300 S Cottonwood Drive Suite B Richardson TX 75080 Ph: (214) 307-4755 |
| NPI Number | 1679950851 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679950851 | NPI | - | NPPES |
| 1306909080 | Other | TX | NPI |
| 1871726943 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22213 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 24942 (Texas) | Primary |
Richardson Oral Surgery And Implant Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1070 W Campbell Rd, Suite 200, Richardson, TX 75080 Phone: 972-231-6661 Fax: 972-231-3161 | |
Jay L. Nutt & C. Fred Pietsch, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 E Belt Line Rd, Suite 103, Richardson, TX 75081 Phone: 972-690-8617 Fax: 972-690-6423 | |