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Organization
WILLIAMS SQUARE DENTAL, PLLC
Active
Organization
WILLIAMS SQUARE DENTAL, PLLC
Active
Other names
Williams Square Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(254) 338-1468
Entity
Organization
Contact information
Practice address
5205 N O'CONNOR BLVD, SUITE 150, IRVING, TX 75039
(972) 556-2122
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
01/28/2026
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