Organization
PROGRESSIVE ENDODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN R. CRAIG D.D.S., M.S. (PRESIDENT)
(214) 528-4196
Entity
Organization
Contact information
Practice address
4514 COLE AVE, SUIRE 930, DALLAS, TX 75205-5412
(214) 528-4196
(214) 528-2615
Mailing address
4514 COLE AVE, SUIRE 930, DALLAS, TX 75205-5412
(214) 528-4196
(214) 528-2615
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
16176
TX
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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