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Organization
PERLA DENTAL OF DESOTO
Active
Organization
PERLA DENTAL OF DESOTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESHA HUSSAIN DDS (OWNER)
(972) 223-3500
Entity
Organization
Contact information
Practice address
1801 LANTANA CT, SOUTHLAKE, TX 76092-3571
(972) 223-3500
Mailing address
921 W. BELTLINE RD, SUITE 114, DESOTO, TX 75115
(972) 223-3500
(972) 223-3508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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