Organization
PERIDOT DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLULEKE JEBODA DMD (OWNER)
(217) 801-1439
Entity
Organization
Contact information
Practice address
3616 S LANCASTER RD, DALLAS, TX 75216-5629
(214) 374-7100
Mailing address
3616 S LANCASTER RD, DALLAS, TX 75216-5629
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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