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Organization
GC DENTAL PROSPER PLLC
Active
Organization
GC DENTAL PROSPER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED OFFICIAL)
(214) 702-0708
Entity
Organization
Contact information
Practice address
1180 N COIT RD STE 50, PROSPER, TX 75078-9819
(972) 347-6400
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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