Organization
UPTOWN DENTAL SOLUTIONS
Active
Other names
Lakeside Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
RASHID BEIRUTE-PRADA DDS (OWNER)
(972) 412-0014
Entity
Organization
Contact information
Practice address
6617 HERITAGE PKWY STE 120, ROCKWALL, TX 75087-8750
(972) 412-0014
Mailing address
6617 HERITAGE PKWY STE 120, ROCKWALL, TX 75087-8750
(972) 412-0014
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
15087
TX
261QD0000X
Dental Clinic/Center
Primary
29058
TX
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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