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Organization
PERLA DENTAL OF KELLER PA
Active
Organization
PERLA DENTAL OF KELLER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESHA HUSSAIN DDS (DDS)
(469) 387-3332
Entity
Organization
Contact information
Practice address
5325 GOLDEN TRIANGLE BLVD STE 100, FORT WORTH, TX 76244-4469
(972) 228-4200
Mailing address
3700 ARMSTRONG AVE, DALLAS, TX 75205-3806
(469) 387-3332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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