Organization
ELDORADO FAMILY DENTISTRY & ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CLARK (DIRECTOR)
(214) 705-7272
Entity
Organization
Contact information
Practice address
2405 FM 423 STE 100, LITTLE ELM, TX 75068-6666
(214) 705-7272
Mailing address
2405 FM 423 STE 100, LITTLE ELM, TX 75068-6666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22973
TX
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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