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Organization
LEAF DENTAL
Active
Organization
LEAF DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZITA SEDIGH (OFFICE DIRECTOR)
(916) 425-4172
Entity
Organization
Contact information
Practice address
5509 PLEASANT VALLEY DR STE 200, PLANO, TX 75023-5249
(916) 425-4172
Mailing address
5509 PLEASANT VALLEY DR STE 200, PLANO, TX 75023-5249
(916) 425-4172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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