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Individual

MARK PADILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
8756 TEEL PKWY, SUITE 336, FRISCO, TX 75034-4414
(972) 712-9300
Mailing address
8756 TEEL PKWY, SUITE 336, FRISCO, TX 75034-4414

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
28035
TX

Other

Enumeration date
10/28/2014
Last updated
10/28/2014
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