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Organization
WESTPARK DA PLLC
Active
Organization
WESTPARK DA PLLC
Active
Other names
Westpark Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
4105 W SPRING CREEK PKWY STE 502, PLANO, TX 75024-5292
(972) 964-7500
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/15/2023
Last updated
01/28/2026
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