Organization
DALLAS PEDIATRIC DENTISTRY, PA
Active
Other names
Plano Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA MCDOUGAL (PRESIDENT)
(972) 612-2200
Entity
Organization
Contact information
Practice address
400 MAPLELAWN CT, SUITE 103, PLANO, TX 75075-5736
(972) 612-2200
Mailing address
PO BOX 2681, SHERMAN, TX 75091-2681
(972) 612-2200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20235
TX
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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