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Organization
TU DENTISTA PC
Active
Organization
TU DENTISTA PC
Active
Other names
Tu Dentis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M JERNIGAN D.D.S (OWNER / PROVIDER)
(214) 431-3727
Entity
Organization
Contact information
Practice address
4101 ROSS AVE, 300, DALLAS, TX 75204-5138
(214) 431-3727
(214) 635-3803
Mailing address
4807 MAPLE AVE, 300, DALLAS, TX 75219-1006
(214) 431-3727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22494
TX
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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