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Organization
TX SOUTHERN DENTAL PPO PC
Active
Organization
TX SOUTHERN DENTAL PPO PC
Active
Parent organization
TX SOUTHERN DENTAL PPO PC
Other names
Marc Dandois DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
TX SOUTHERN DENTAL PPO PC
Authorized official
CHRISTINE NELSON (VP, REVENUE CYCLE)
(469) 450-6482
Entity
Organization
Contact information
Practice address
1821 GOLDEN TRAIL CT STE 220, CARROLLTON, TX 75010-4671
(972) 394-7007
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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