# KDDS DENTAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innate Dental Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326728932
- **Authorized official:** MICHELLE DOSSETT (COO)
- **Authorized official phone:** (214) 557-7716

## Contact information

- **Practice address:** 4708 W PLANO PKWY STE 200, PLANO, TX 75093-5335
- **Practice address phone:** (972) 519-0990
- **Mailing address:** 5228 VILLAGE CREEK DR STE 101, PLANO, TX 75093-4431
- **Mailing address phone:** (972) 519-0990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023