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7965 Custer Rd Suite 100 Plano TX 75025-3148 | |
| (972) 517-6453 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7965 Custer Rd, Plano, Texas |
| Authorized Official Name and Position | Jennifer Hoelscher (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7965 Custer Rd Suite 100 Plano TX 75025-3148 Ph: (972) 517-6453 | 7965 Custer Rd Suite 100 Plano TX 75025-3148 Ph: (972) 517-6453 |
| NPI Number | 1093961427 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093961427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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