Organization
ENNIS FAMILY DENTISTRY PLLC
Active
Other names
Ennis Family Dentistry & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1011 E ENNIS AVE STE A, ENNIS, TX 75119-4352
(972) 869-3789
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
04/25/2023
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