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Organization
MARVEL DENTAL MIDLOTHIAN PLLC
Active
Organization
MARVEL DENTAL MIDLOTHIAN PLLC
Active
Other names
marvel dental and orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JAY OZA DDS (OWNER)
(817) 933-3883
Entity
Organization
Contact information
Practice address
661 E MAIN ST STE 800, MIDLOTHIAN, TX 76065-3342
(817) 933-3883
Mailing address
661 E MAIN ST STE 800, MIDLOTHIAN, TX 76065-3342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30486
—
TX
Enumeration date
11/01/2017
Last updated
11/01/2017
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