Individual
DR. CAITLYN JANE POUPART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1001 N INTERSTATE 35 E, STE. 420C, DESOTO, TX 75115-4261
(972) 224-5397
Mailing address
3317 RADCLIFFE DR, PLANO, TX 75093-7139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31284
TX
Other
Enumeration date
07/23/2015
Last updated
08/18/2020
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