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Organization
VILLAGE DENTAL HEALTH
Active
Organization
VILLAGE DENTAL HEALTH
Active
Other names
Prosper Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H GERLACH DDS (OWNER)
(972) 964-1855
Entity
Organization
Contact information
Practice address
2450 E PROSPER TRL, 30, PROSPER, TX 75078-9147
(972) 347-2233
(972) 347-2237
Mailing address
5425 W SPRING CREEK PKWY, 165, PLANO, TX 75024-4236
(972) 964-1855
(972) 943-9301
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013219732
DENTAL
TX
01
—
1720231574
DENTAL
TX
Enumeration date
10/30/2014
Last updated
10/30/2014
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