Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Vista Trail Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
8050 WOODBRIDGE PKWY, SACHSE, TX 75048-6696
(469) 649-9353
(469) 649-9354
Mailing address
8050 WOODBRIDGE PKWY, SACHSE, TX 75048-6696
(469) 649-9353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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