Individual
ANDREA CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N JOSEY LN STE 100, CARROLLTON, TX 75010-4682
(972) 820-8780
Mailing address
4300 N JOSEY LN STE 100, CARROLLTON, TX 75010-4682
(956) 337-0464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37492
TX
Other
Enumeration date
07/12/2021
Last updated
09/15/2021
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