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Organization

DENTAL HEALTH ASSOCIATES OF TEXAS, PC

Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Pine Forest Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization

Contact information

Practice address
7 SWITCHBUD PL STE 200, SPRING, TX 77380-3707
(281) 364-9913
Mailing address
7 SWITCHBUD PL STE 200, SPRING, TX 77380-3707

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/26/2018
Last updated
04/02/2019
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