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Organization
FRISCO CROSSING DENTAL GROUP AND ORTHODONTICS PC
Active
Organization
FRISCO CROSSING DENTAL GROUP AND ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY YATES (OWNER DENTIST)
(214) 225-0321
Entity
Organization
Contact information
Practice address
1525 US HIGHWAY 380 STE 600, FRISCO, TX 75033-0176
(214) 225-0321
(214) 306-0987
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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