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Organization
TEXAS DENTAL SPECIALIST PRACTICE, PLLC
Active
Organization
TEXAS DENTAL SPECIALIST PRACTICE, PLLC
Active
Parent organization
-
Other names
Sealy Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
SILAS CHARLES ERICKSON (CREDENTIALING SPECIALIST)
(720) 353-4903
Entity
Organization
Contact information
Practice address
226 4TH ST, SEALY, TX 77474-2726
(719) 266-2717
(719) 213-2311
Mailing address
6110 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 266-2717
(719) 213-2311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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