Organization
DALLAS DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HALE (AUTHORIZED REPRESENTATIVE)
(214) 702-0721
Entity
Organization
Contact information
Practice address
15123 PRESTONWOOD BLVD, SUITE 140, DALLAS, TX 75248-4701
(214) 357-9066
Mailing address
2711 LBJ FWY, SUITE 122, DALLAS, TX 75234-7315
(214) 357-9066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TX
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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