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Organization
PROSPER DENTISTRY & ORTHODONTICS, PA
Active
Organization
PROSPER DENTISTRY & ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF R. GILSON D.D.S. (DENTIST/OWNER)
(972) 743-9811
Entity
Organization
Contact information
Practice address
110 N PRESTON RD STE 10, PROSPER, TX 75078-8644
(972) 346-2080
Mailing address
PO BOX 992, PROSPER, TX 75078-0993
(972) 743-9811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
08/01/2014
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