Organization
DISTINCT DENTAL STUDIOS
Active
Parent organization
DISTINCT DENTAL STUDIOS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISTINCT DENTAL STUDIOS
Authorized official
DR. LEO DAVIS JR. DDS (GENERAL DENTIST)
(972) 200-1589
Entity
Organization
Contact information
Practice address
1370 W BELTLINE RD, STE 100, LANCASTER, TX 75146
(972) 200-1589
Mailing address
1370 W BELTLINE RD, STE 100, LANCASTER, TX 75146
(972) 200-1589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851602882
—
TX
Enumeration date
10/28/2015
Last updated
05/05/2016
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