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Organization
THE DENTISTS AT GRAND PARKWAY, PLLC
Active
Organization
THE DENTISTS AT GRAND PARKWAY, PLLC
Active
Other names
The Dentists At Grand Parkway
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
1575 W GRAND PKWY S STE 1200, KATY, TX 77494-8313
(281) 395-1700
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
(214) 702-0729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
05/09/2023
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