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670 W Campbell Rd Richardson TX 75080-3393 | |
(414) 630-7384 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 670 W Campbell Rd, Richardson, Texas |
Authorized Official Name and Position | Osama Siddiqui (OWNER) |
Authorized Official Contact | 4697810231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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670 W Campbell Rd Richardson TX 75080-3393 Ph: (414) 630-7384 | 670 W Campbell Rd Richardson TX 75080-3393 Ph: (414) 630-7384 |
NPI Number | 1578148201 |
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Provider Enumeration Date | 03/15/2021 |
Last Update Date | 11/15/2023 |
Identifier | Type | State | Issuer |
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1578148201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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 | |