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Organization
PEPPERMINT DENTAL
Active
Organization
PEPPERMINT DENTAL
Active
Other names
Peppermint Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU PHARMD (REGIONAL FINANCE OFFICER)
(817) 675-8753
Entity
Organization
Contact information
Practice address
5701 PRESIDENT GEORGE BUSH HWY STE 140, ROWLETT, TX 75089-3694
(214) 703-0703
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(214) 703-0703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
04/26/2023
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