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Organization
NORTH TEXAS HERITAGE DENTAL PLLC
Active
Organization
NORTH TEXAS HERITAGE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEVENS D.D.S. (PRESIDENT)
(281) 630-2193
Entity
Organization
Contact information
Practice address
4041 W WHEATLAND RD, #202, DALLAS, TX 75237-4063
(281) 630-2193
Mailing address
902 W YEAGUA ST, GROESBECK, TX 76642-3526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22841
TX
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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