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Organization
MARKET STREET FAMILY DENTAL,PLLC
Active
Organization
MARKET STREET FAMILY DENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SHANE CAPARAS D.M.D (OWNER)
(972) 982-8492
Entity
Organization
Contact information
Practice address
2800 E WHITESTONE BLVD, STE. 225, CEDAR PARK, TX 78613-7273
(512) 337-0993
Mailing address
5400 LBJ FWY, STE 944, DALLAS, TX 75240-1000
(972) 982-8490
(972) 982-8492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
11/04/2013
Last updated
04/23/2014
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