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Organization
RICHARDSPN DENTAL PROFESSIONALS
Active
Organization
RICHARDSPN DENTAL PROFESSIONALS
Active
Other names
Richardson Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY MAXWELL GOAD DDS (GENERAL DENTIST)
(972) 690-6653
Entity
Organization
Contact information
Practice address
700 E CAMPBELL RD, STE. #240, RICHARDSON, TX 75081-2041
(972) 690-6653
(972) 680-8757
Mailing address
700 E CAMPBELL RD, STE. #240, RICHARDSON, TX 75081-2041
(972) 690-6653
(972) 680-8757
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
11808
TX
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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