# FRESCA DENTAL PLLC

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

## Provider details

- **NPI number:** 1396377594
- **Authorized official:** DR. RAHUL JOSHI DDS (MANAGER)
- **Authorized official phone:** (480) 747-5129

## Contact information

- **Practice address:** 10121 LAKE JUNE RD STE 118, DALLAS, TX 75217-5345
- **Practice address phone:** (469) 930-2501
- **Mailing address:** 1150 EMPIRE CENTRAL PL STE 112, DALLAS, TX 75247-4312
- **Mailing address phone:** (480) 747-5129

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 02/06/2020
