Organization
VILLAGE PERIODONTICS & IMPLANT DENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE C MOORE (OFFICE MANAGER)
(972) 966-2500
Entity
Organization
Contact information
Practice address
2820 VILLAGE PKWY STE 630, HIGHLAND VILLAGE, TX 75077-3299
(972) 966-2500
(972) 471-9833
Mailing address
2820 VILLAGE PKWY STE 630, HIGHLAND VILLAGE, TX 75077-3299
(972) 966-2500
(972) 471-9833
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16373
TX
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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