Organization
HIGHLAND DENTAL LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY O SEMPRUN (OPERATIONS MANAGER)
(214) 559-2292
Entity
Organization
Contact information
Practice address
4054 MCKINNEY AVE STE 103, DALLAS, TX 75204-2050
(214) 559-2292
(214) 559-2697
Mailing address
4054 MCKINNEY AVE STE 103, DALLAS, TX 75204-2050
(214) 559-2292
(214) 559-2697
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
0003065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003065
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
06/18/2008
Last updated
06/18/2008
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