Organization
SKOUSEN DENTAL, PLLC
Active
Other names
Heritage Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL R SKOUSEN DDS (OWNER)
(469) 535-6516
Entity
Organization
Contact information
Practice address
12828 ELDORADO PKWY STE 110, FRISCO, TX 75035-5881
(469) 535-6516
(469) 530-3321
Mailing address
12828 ELDORADO PKWY STE 110, FRISCO, TX 75035-5881
(469) 535-6516
(469) 530-3321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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