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Organization
STANDARD DENTAL ALLIANCE, PLLC.
Active
Organization
STANDARD DENTAL ALLIANCE, PLLC.
Active
Other names
Legacy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G. HEFFELFINGER DDS (DENTIST)
(972) 563-8383
Entity
Organization
Contact information
Practice address
1405 W MOORE AVE, TERRELL, TX 75160-2303
(972) 563-8383
Mailing address
1405 W MOORE AVE, TERRELL, TX 75160-2303
(972) 563-8383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2821993
—
TX
Enumeration date
06/09/2011
Last updated
11/02/2011
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