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Organization
RICHARDSON DENTISTRY, PLLC
Active
Organization
RICHARDSON DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT FLEMING DDS (REGISTERED AGENT)
(972) 690-8617
Entity
Organization
Contact information
Practice address
1231 E BELT LINE RD, SUITE103, RICHARDSON, TX 75081-3748
(972) 690-8617
(972) 690-6423
Mailing address
1231 E BELT LINE RD, SUITE103, RICHARDSON, TX 75081-3748
(972) 690-8617
(972) 690-6423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25656
TX
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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