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Organization
LATER DENTAL
Active
Organization
LATER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA JANETH CARREON (OFFICE MANAGER)
(972) 381-1888
Entity
Organization
Contact information
Practice address
5132 VILLAGE CREEK DR, PLANO, TX 75093-4497
(972) 381-1888
Mailing address
5132 VILLAGE CREEK DR, PLANO, TX 75093-4497
(972) 381-1888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18873
TX
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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