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Organization

DENTAL HEALTH ASSOCIATES OF TEXAS, PC

Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Teal Ridge 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
17205 HIGHWAY 6, MANVEL, TX 77578
(346) 686-2002
(346) 686-2003
Mailing address
17205 HIGHWAY 6, MANVEL, TX 77578
(346) 686-2002
(346) 686-2003

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/25/2024
Last updated
06/25/2024
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