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Organization
SOL DENTAL-CANYON PLLC
Active
Organization
SOL DENTAL-CANYON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEE SEMERA (CREDENTIALING)
(817) 809-4865
Entity
Organization
Contact information
Practice address
301 N 23RD ST, CANYON, TX 79015-3059
(806) 591-1101
(806) 853-6620
Mailing address
1261 W GREEN OAKS BLVD STE 101, ARLINGTON, TX 76013-8349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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