Organization
DENTRUST DENTAL TEXAS, P.C.
Active
Other names
DOCS Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DECARLO (VP FINANCE)
(267) 362-5869
Entity
Organization
Contact information
Practice address
13405 IMMANUEL RD STE B, PFLUGERVILLE, TX 78660-8337
(267) 927-5000
(267) 927-5007
Mailing address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(267) 927-5000
(267) 927-5007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
09/24/2020
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