Organization
CELEBRITY DENTAL & ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY ESPINOZA (OFFICE MANAGER)
(817) 785-3290
Entity
Organization
Contact information
Practice address
817 W JEFFERSON BLVD, STE 2, DALLAS, TX 75208-4924
(469) 930-8280
(855) 541-0586
Mailing address
10711 STRAIT LN, DALLAS, TX 75229-5428
(214) 253-2402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
03/03/2017
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