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Individual

DR. DAVID I DAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11650 US HIGHWAY 380 STE 100, CROSSROADS, TX 76227-8329
(940) 205-4293
Mailing address
13865 POMEGANATE DR, FRISCO, TX 75035
(520) 226-7749

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
33992
TX
1223G0001X
General Practice Dentistry
Primary
D7219
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33992
TEXAS DENTAL LICENSE
TX
Enumeration date
05/10/2007
Last updated
07/18/2018
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