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Organization
PRISMA DENTAL
Active
Organization
PRISMA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA MARIA CORREA D.D.S (GENERAL DENTIST)
(678) 665-1643
Entity
Organization
Contact information
Practice address
5566 MAIN STREET, SUITE150, FRISCO, TX 75034
(972) 731-9800
(972) 731-9801
Mailing address
1701 STILLHOUSE HOLLOW DR, PROSPER, TX 75078-7202
(972) 886-5493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23535
TX
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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