Organization
DENTAL PROFESSIONALS OF TEXAS, P.A.
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Energy Square Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA NICHOLE TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
4849 GREENVILLE AVE STE 173, DALLAS, TX 75206-4187
(214) 369-9966
Mailing address
4849 GREENVILLE AVE STE 173, DALLAS, TX 75206-4187
(217) 540-8972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
06/26/2017
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