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Organization
HIGHLAND DENTAL GROUP, PLLC
Active
Organization
HIGHLAND DENTAL GROUP, PLLC
Active
Other names
Highland Village Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON FULLER DDS (DENTIST)
(469) 444-6500
Entity
Organization
Contact information
Practice address
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077-3285
(469) 444-6500
Mailing address
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077-3285
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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