Organization
EMMANUEL DENTAL P.A.
Active
Other names
Safe Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMOD K THOMAS DDS (PRESIDENT)
(972) 238-7233
Entity
Organization
Contact information
Practice address
445 WALNUT ST, SUITE 133, RICHARDSON, TX 75081-5649
(972) 238-7233
(972) 238-8993
Mailing address
445 WALNUT ST, SUITE 133, RICHARDSON, TX 75081-5649
(972) 238-7233
(972) 238-8993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720259088
PROVIDER INDIVIDUAL NPI
TX
Enumeration date
01/05/2010
Last updated
01/05/2010
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