Individual
JENNIFER PITZ DECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3000 GASTON AVE., STE 504C, DALLAS, TX 75226
(214) 828-8241
Mailing address
2014 FLAT CREEK PL, RICHARDSON, TX 75080-2318
(214) 865-8991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0024555
TX
1223P0221X
Pediatric Dentistry
024555
TX
1223P0221X
Pediatric Dentistry
Primary
24555
TX
Other
Enumeration date
06/26/2009
Last updated
06/11/2021
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