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Organization
VALLEY RANCH DENTAL ASSOCIATES PLLC
Active
Organization
VALLEY RANCH DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEE SEMERA (CREDENTIALING MANAGER)
(469) 556-9000
Entity
Organization
Contact information
Practice address
9901 VALLEY RANCH PKWY E STE 1020, IRVING, TX 75063-7179
(972) 869-5966
Mailing address
1261 W GREEN OAKS BLVD STE 103, ARLINGTON, TX 76013-8349
(830) 426-2255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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