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Organization

DRAGONFLY CURB SIDE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLIFFORD MASTERS (CEO)
(214) 674-2635
Entity
Organization

Contact information

Practice address
2775 VILLA CREEK DR STE B-272, FARMERS BRANCH, TX 75234-7432
(214) 674-2635
(469) 283-2931
Mailing address
2775 VILLA CREEK DR STE B-272, FARMERS BRANCH, TX 75234-7432
(214) 674-2635
(469) 283-2931

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M-24472
TEXAS DENTAL BOARD
TX
Enumeration date
05/02/2019
Last updated
06/11/2019
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