# PLANO ENDODONTICS, PC

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

## Provider details

- **NPI number:** 1154855823
- **Authorized official:** DR. KIMBERLY G HOLT D.D.S. (MANAGER)
- **Authorized official phone:** (972) 713-6644

## Contact information

- **Practice address:** 5072 W PLANO PKWY STE 180, PLANO, TX 75093-4469
- **Practice address phone:** (972) 713-6644
- **Practice address fax:** (972) 713-6794
- **Mailing address:** 5072 W PLANO PKWY STE 180, PLANO, TX 75093-4469
- **Mailing address phone:** (972) 713-6644
- **Mailing address fax:** (972) 713-6794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | TX | Yes |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 04/19/2017