Organization
CAPSTONE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA PETERSON (REGIONAL DIRECTOR)
(972) 358-4877
Entity
Organization
Contact information
Practice address
1517 BROOKLEAF DR., ARLINGTON, TX 76018
(972) 358-4877
(469) 574-5138
Mailing address
1631 COIT ROAD, 114, DALLAS, TX 75248
(972) 358-4877
(469) 574-5138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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