Organization
DENTISTRY FOR LIFE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPAL DAVE DDS (OWNER)
(817) 741-0045
Entity
Organization
Contact information
Practice address
900 S MAIN ST, SUITE 360, KELLER, TX 76248-7024
(817) 741-0045
(817) 741-0046
Mailing address
900 S MAIN ST, SUITE 360, KELLER, TX 76248-7024
(817) 741-0045
(817) 741-0046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/21/2016
Last updated
04/13/2021
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