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300 S Cottonwood Dr Suite F Richardson TX 75080-5751 | |
(972) 644-1998 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 300 S Cottonwood Dr, Richardson, Texas |
Authorized Official Name and Position | Matthew Hale (AUTHORIZED REPRESENTATIVE) |
Authorized Official Contact | 9729054759 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2711 Lbj Fwy Suite 122 Dallas TX 75234-7315 Ph: (972) 905-4759 | 300 S Cottonwood Dr Suite F Richardson TX 75080-5751 Ph: (972) 644-1998 |
NPI Number | 1831582725 |
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Provider Enumeration Date | 03/17/2015 |
Last Update Date | 03/17/2015 |
Identifier | Type | State | Issuer |
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1831582725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 27264 (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 | |