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Organization
INNOVATIVE DENTAL SPECIALISTS OF MCKINNEY PLLC
Active
Organization
INNOVATIVE DENTAL SPECIALISTS OF MCKINNEY PLLC
Active
Other names
Innovative Dental Specialists of McKinney
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
6020 VIRGINIA PARKWAY STE 100, MCKINNEY, TX 75071
(469) 448-0066
Mailing address
6020 VIRGINIA PARKWAY STE 100, MCKINNEY, TX 75071
(469) 448-0066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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