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Organization

PARK CITIES FAMILY DENTISTRY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY W HUBBARD DDS (PRESIDENT)
(214) 528-3770
Entity
Organization

Contact information

Practice address
3100 MONTICELLO AVE, SUITE 110, DALLAS, TX 75205-3442
(214) 528-3770
(214) 526-7436
Mailing address
3100 MONTICELLO AVE, SUITE 110, DALLAS, TX 75205-3442
(214) 528-3770
(214) 526-7436

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
15507
TX

Other

Enumeration date
06/18/2013
Last updated
06/18/2013
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