# EPP TX PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689396947
- **Authorized official:** MR. JASON BERTOLLINI (INSURANCE MANAGER)
- **Authorized official phone:** (315) 450-0763

## Contact information

- **Practice address:** 12655 N CENTRAL EXPY STE 1014, DALLAS, TX 75243-3792
- **Practice address phone:** (214) 972-3396
- **Mailing address:** 12655 N CENTRAL EXPY STE 1014, DALLAS, TX 75243-3792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 09/14/2022
