Organization
EPP TX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BERTOLLINI (INSURANCE MANAGER)
(315) 450-0763
Entity
Organization
Contact information
Practice address
12655 N CENTRAL EXPY STE 1014, DALLAS, TX 75243-3792
(214) 972-3396
Mailing address
12655 N CENTRAL EXPY STE 1014, DALLAS, TX 75243-3792
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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