# DENTAL DELITE PG PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104156843
- **Authorized official:** DR. BELINDA MARSAW (DENTIST)
- **Authorized official phone:** (214) 398-1234

## Contact information

- **Practice address:** 8228 BRUTON RD, DALLAS, TX 75217-1902
- **Practice address phone:** (214) 398-1234
- **Mailing address:** 8228 BRUTON RD, DALLAS, TX 75217-1902
- **Mailing address phone:** (214) 398-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13654 | TX | Yes |

## Other

- **Enumeration date:** 12/31/2009
- **Last updated:** 12/31/2009