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Organization
N. CARRIER PARKWAY, PC
Active
Organization
N. CARRIER PARKWAY, PC
Active
Other names
Carrier Parkway Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
THALIA SHIRLEY D.D.S. (PRESIDENT)
(972) 642-1276
Entity
Organization
Contact information
Practice address
625 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5463
(972) 642-1276
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 150, MARIETTA, GA 30067-6405
(770) 916-5031
(678) 247-7966
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/29/2014
Last updated
12/06/2016
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