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Organization

RICHARDSPN DENTAL PROFESSIONALS

Active
Other names
Richardson Cosmetic Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KERRY MAXWELL GOAD DDS (GENERAL DENTIST)
(972) 690-6653
Entity
Organization

Contact information

Practice address
700 E CAMPBELL RD, STE. #240, RICHARDSON, TX 75081-2041
(972) 690-6653
(972) 680-8757
Mailing address
700 E CAMPBELL RD, STE. #240, RICHARDSON, TX 75081-2041
(972) 690-6653
(972) 680-8757

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
11808
TX

Other

Enumeration date
04/13/2015
Last updated
04/13/2015
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