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Organization

LAS COLINAS DENTAL GROUP PLLC

Active
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Organization

LAS COLINAS DENTAL GROUP PLLC

Active
Other names
Las Colinas Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization

Contact information

Practice address
3100 N. O'CONNOR RD., STE. 100, IRVING, TX 75062
(972) 255-9000
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
(214) 702-0721

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TX

Other

Enumeration date
05/03/2016
Last updated
01/28/2026
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