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Organization
NORTHEAST DALLAS DENTISTRY, PC
Active
Organization
NORTHEAST DALLAS DENTISTRY, PC
Active
Other names
Northeas Dallas Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVIA SANTILLAN DDS (DDS/OWNER)
(214) 302-0807
Entity
Organization
Contact information
Practice address
6401 EAST NORTHWEST HIGHWAY, SUITE 100, DALLAS, TX 75231
(214) 302-0807
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8201
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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