Organization
DENTAL DISTINCTION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MANSOUR DDS, MS (OWNER)
(469) 230-7338
Entity
Organization
Contact information
Practice address
609 W 15TH ST, SUITE# 130, PLANO, TX 75075-8876
(972) 423-3322
Mailing address
609 W 15TH STREET, SUITE# 130, PLANO, TX 75075
(972) 423-3322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24193
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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