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Organization
PURE DENTAL, P.A.
Active
Organization
PURE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRODY JAMISON HILDEBRAND (OWNER)
(214) 824-7873
Entity
Organization
Contact information
Practice address
5321 E MOCKINGBIRD LN, SUITE 210, DALLAS, TX 75206-5185
(214) 824-7873
Mailing address
8411 PRESTON RD, SUITE 850, DALLAS, TX 75225-5523
(214) 824-7873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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