Organization
DENTAL INNOVATION OF PLANO
Active
Other names
TEXAS DENTAL SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR YOUSUF DDS (OWNER)
(504) 237-3558
Entity
Organization
Contact information
Practice address
5940 W PARKER RD STE 103, PLANO, TX 75093-6404
(214) 619-6329
Mailing address
2012 SOUTHLAKE GLEN DR, SOUTHLAKE, TX 76092-1422
(504) 237-3558
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
01/07/2025
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