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Organization
PICASSO DENTAL AND ORTHODONTICS PLLC
Active
Organization
PICASSO DENTAL AND ORTHODONTICS PLLC
Active
Other names
Picasso Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
324 NORTH HIGHWAY 175, SEAGOVILLE, TX 75159
(972) 791-8795
Mailing address
324 NORTH HIGHWAY 175, SEAGOVILLE, TX 75159
(972) 791-8795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
11/21/2019
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