| Las Colinas Dental Group | |
|
3100 N. O'connor Rd. Ste. 100 Irving TX 75062 | |
| (972) 255-9000 | |
| Not Available |
| Full Name | Las Colinas Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3100 N. O'connor Rd., Irving, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Colinas Dental Group 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0721 | Las Colinas Dental Group 3100 N. O'connor Rd. Ste. 100 Irving TX 75062 Ph: (972) 255-9000 |
| NPI Number | 1043665524 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043665524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Texas) | Primary |
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