Organization
CHILDREN'S DENTAL AT PRESTON TRAIL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE V DASCH DDS (DIRECTOR OF CREDENTIALING AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
17194 PRESTON RD, DALLAS, TX 75248-1221
(615) 247-7100
(615) 247-7052
Mailing address
17194 PRESTON RD STE 160, DALLAS, TX 75248-1264
(214) 453-2565
(866) 407-9977
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
7907
TN
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/30/2017
Last updated
10/28/2024
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