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Organization
PRESTON RIDGE DENTAL
Active
Organization
PRESTON RIDGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON BRIAN HERRING (DENTIST)
(972) 668-7118
Entity
Organization
Contact information
Practice address
3311 PRESTON RD STE 10, FRISCO, TX 75034-9027
(972) 668-7118
Mailing address
3311 PRESTON RD STE 10, FRISCO, TX 75034-9027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205070001
—
TX
Enumeration date
02/09/2012
Last updated
02/09/2012
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