Organization
PLANO TEXAS DENTAL
Active
Other names
Texas Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBERT JENNINGS DDS (OWNER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
5132 VILLAGE CREEK DR, PLANO, TX 75093-4497
(972) 381-1888
Mailing address
2109 COMMERCE ST, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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