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Organization

DENTON DENTAL GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization

Contact information

Practice address
3323 UNICORN LAKE BLVD STE 131, DENTON, TX 76210-0123
(940) 368-4797
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
(214) 702-0720

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/04/2022
Last updated
05/03/2023
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