# DRAGONFLY CURB SIDE DENTAL

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

## Provider details

- **NPI number:** 1326603697
- **Authorized official:** MR. CLIFFORD MASTERS (CEO)
- **Authorized official phone:** (214) 674-2635

## Contact information

- **Practice address:** 2775 VILLA CREEK DR STE B-272, FARMERS BRANCH, TX 75234-7432
- **Practice address phone:** (214) 674-2635
- **Practice address fax:** (469) 283-2931
- **Mailing address:** 2775 VILLA CREEK DR STE B-272, FARMERS BRANCH, TX 75234-7432
- **Mailing address phone:** (214) 674-2635
- **Mailing address fax:** (469) 283-2931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | M-24472 | TEXAS DENTAL BOARD | TX |