Organization
DEL REY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW TADROS DDS (PRESIDENT)
(714) 330-3665
Entity
Organization
Contact information
Practice address
11525 JUPITER RD, SUITE 103, DALLAS, TX 75218-2570
(714) 330-3665
Mailing address
11525 JUPITER RD, SUITE 103, DALLAS, TX 75218-2570
(714) 330-3665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28386
TX
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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