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Organization
DENTAL INNOVATION OF PLANO
Active
Organization
DENTAL INNOVATION OF PLANO
Active
Other names
TEXAS DENTAL SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR YOUSUF DDS (OWNER)
(504) 237-3558
Entity
Organization
Contact information
Practice address
5940 W PARKER RD STE 103, PLANO, TX 75093-6404
(214) 619-6329
Mailing address
2012 SOUTHLAKE GLEN DR, SOUTHLAKE, TX 76092-1422
(504) 237-3558
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/07/2021
Last updated
01/07/2025
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