Organization
DENTAL RESORT PLLC
Active
Other names
Dental Resort
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN NEMOVI DDS (OWNER)
(530) 400-8008
Entity
Organization
Contact information
Practice address
2100 DALLAS PKWY, STE 120, PLANO, TX 75093-4363
(530) 400-8008
(866) 892-0774
Mailing address
2100 DALLAS PKWY, STE 120, PLANO, TX 75093-4363
(530) 400-8008
(866) 892-0774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669727558
NPI TYPE 1
TX
Enumeration date
01/12/2017
Last updated
01/12/2017
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