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Organization
JPNR DENTAL PLLC
Active
Organization
JPNR DENTAL PLLC
Active
Other names
Fresca Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH FROST DIRECTOR (CREDENTIALING DIRECTOR)
(630) 877-3520
Entity
Organization
Contact information
Practice address
10121 LAKE JUNE RD STE 118, DALLAS, TX 75217-5345
(469) 930-2105
Mailing address
10121 LAKE JUNE RD STE 118, DALLAS, TX 75217-5345
(469) 930-2105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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