# DISTINCT DENTAL STUDIOS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DISTINCT DENTAL STUDIOS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568834711
- **Legal business name:** DISTINCT DENTAL STUDIOS
- **Authorized official:** DR. LEO DAVIS JR. DDS (GENERAL DENTIST)
- **Authorized official phone:** (972) 200-1589

## Contact information

- **Practice address:** 1370 W BELTLINE RD, STE 100, LANCASTER, TX 75146
- **Practice address phone:** (972) 200-1589
- **Mailing address:** 1370 W BELTLINE RD, STE 100, LANCASTER, TX 75146
- **Mailing address phone:** (972) 200-1589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25591 | TX | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 05/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1851602882 | — | TX |