# P LYNETTE PAGE DDS DENTAL MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1346620853
- **Authorized official:** ANTHONY VECCHIONE (GENERAL COUNSEL)
- **Authorized official phone:** (214) 692-7499

## Contact information

- **Practice address:** 6500 GREENVILLE AVE, SUITE 100, DALLAS, TX 75206-1014
- **Practice address phone:** (214) 692-7499
- **Practice address fax:** (214) 361-4145
- **Mailing address:** 6500 GREENVILLE AVE, SUITE 100, DALLAS, TX 75206-1014
- **Mailing address phone:** (214) 692-7499
- **Mailing address fax:** (214) 361-4145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 24175 | TX | Yes |

## Other

- **Enumeration date:** 06/01/2015
- **Last updated:** 02/02/2021