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Individual

ERNESTO PRIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7301 STATE HIGHWAY 161 STE 198, IRVING, TX 75039-2880
(972) 869-3789
Mailing address
7301 STATE HIGHWAY 161 STE 198, IRVING, TX 75039-2880
(972) 869-3789

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27119
TX

Other

Enumeration date
07/11/2011
Last updated
07/11/2011
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