# DENTAL DISTINCTION, PLLC

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

## Provider details

- **NPI number:** 1770929887
- **Authorized official:** MOHAMMED MANSOUR DDS, MS (OWNER)
- **Authorized official phone:** (469) 230-7338

## Contact information

- **Practice address:** 609 W 15TH ST, SUITE\# 130, PLANO, TX 75075-8876
- **Practice address phone:** (972) 423-3322
- **Mailing address:** 609 W 15TH STREET, SUITE\# 130, PLANO, TX 75075
- **Mailing address phone:** (972) 423-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24193 | TX | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 05/15/2013