Organization
EL DORADO DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY ROCHA (PAYER ENROLLMENT MANAGER)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4685 ELDORADO PKWY, FRISCO, TX 75033-0288
(214) 396-3500
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(214) 396-3500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
02/01/2018
Last updated
08/15/2025
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