Organization
COLLIER FAMILY DNETISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERA COLLIER DDS (OWNER)
(972) 779-0300
Entity
Organization
Contact information
Practice address
918 E PLEASANT RUN RD, STE 120, CEDAR HILL, TX 75104
(972) 779-0300
Mailing address
918 E PLEASANT RUN RD, STE 120, CEDAR HILL, TX 75104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912138751
NPPES
TX
Enumeration date
10/23/2019
Last updated
10/23/2019
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