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Organization
PROSPER FAMILY DENTISTRY
Active
Organization
PROSPER FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB PATRICK SENTLINGAR (SECRETARY/BUSINESS MANAGER)
(972) 989-1966
Entity
Organization
Contact information
Practice address
201 N PRESTON RD, SUITE A, PROSPER, TX 75078-8627
(972) 347-1145
(972) 347-1147
Mailing address
201 N PRESTON RD, SUITE A, PROSPER, TX 75078-8627
(972) 347-1145
(972) 347-1147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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