Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH FISH (CREDENTIALING MANAGER)
(217) 540-5699
Entity
Organization
Contact information
Practice address
1760 W VIRGINIA ST, STE 100, MCKINNEY, TX 75069-7864
(972) 547-6453
(972) 542-0121
Mailing address
1760 W VIRGINIA ST, STE 100, MCKINNEY, TX 75069-7864
(972) 547-6453
(972) 542-0121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15772
TX
1223G0001X
General Practice Dentistry
16034
TX
1223G0001X
General Practice Dentistry
20135
TX
1223G0001X
General Practice Dentistry
20748
TX
Other
Enumeration date
05/07/2007
Last updated
07/09/2024
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