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Organization

CUSTOM DENTAL OF DENTON, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARI RENE RODGERS (COO)
(405) 227-6100
Entity
Organization

Contact information

Practice address
4200 N I 35, DENTON, TX 76207-3441
(940) 591-9362
Mailing address
4200 N I 35, DENTON, TX 76207-3441
(405) 227-6100

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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