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Organization
MAPLE FAMILY DENTAL PLLC
Active
Organization
MAPLE FAMILY DENTAL PLLC
Active
Other names
Columbia Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITA DESAI DDS (DDS, OWNER)
(214) 517-9608
Entity
Organization
Contact information
Practice address
4611 COLUMBIA AVE, SUITE 104, DALLAS, TX 75226-2306
(214) 517-9608
(214) 827-8001
Mailing address
4611 COLUMBIA AVE, SUITE 104, DALLAS, TX 75226-2306
(214) 517-9608
(214) 827-8001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21968
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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