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Organization
GD TX PLLC
Active
Organization
GD TX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA LOCKE (DIRECTOR OF OPERATIONS)
(972) 814-8144
Entity
Organization
Contact information
Practice address
26795 US HIGHWAY 380 E STE 400, AUBREY, TX 76227-7895
(972) 347-6200
Mailing address
1467 BENT TREE DR, FRISCO, TX 75036-7893
(972) 814-8144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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