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Organization
PECAN PLAZA DENTAL, P.A.
Active
Organization
PECAN PLAZA DENTAL, P.A.
Active
Other names
Bear Creek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. TAFEL D.D.S. (PRESIDENT)
(214) 420-7000
Entity
Organization
Contact information
Practice address
3400 LOMBARDY LANE, SUITE 100, DALLAS, TX 75220-3315
(214) 350-5333
(214) 350-8555
Mailing address
PO BOX 7302, DALLAS, TX 75209-0302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160452201
—
TX
Enumeration date
01/07/2007
Last updated
03/04/2016
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