Organization
CODENTX
Active
Parent organization
CODENTX
Organization subpart
Yes
Provider details
NPI number
Legal business name
CODENTX
Authorized official
DR. NATALIE STIMPSON DDS (CLINICAL DENTAL DIRECTOR)
(214) 208-3782
Entity
Organization
Contact information
Practice address
701 COMMERCE ST, DALLAS, TX 75202-4522
(214) 208-3872
Mailing address
701 COMMERCE ST, DALLAS, TX 75202-4522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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