Organization
DAMON DENTAL AND IMPLANT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON CLARK DAMON JR. DDS (OWNER/PRESIDENT)
(806) 584-7991
Entity
Organization
Contact information
Practice address
100 N CENTRAL EXPY STE 130, RICHARDSON, TX 75080-5332
(972) 808-6008
(972) 808-6009
Mailing address
100 N CENTRAL EXPY STE 130, RICHARDSON, TX 75080-5332
(972) 808-6008
(972) 808-6009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27147
TX
261QD0000X
Dental Clinic/Center
27147
TX
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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