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1366924383
CUSTOM DENTAL OF CARROLLTON, PLLC
DALLAS, TX
NPI
1366924383
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Entity Type
Organization
Authorized Contact
RENE RODGERS
COO
405-227-6100
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: TX 26171)
Enumeration Date
2018-09-06
Last Update Date
2021-09-08
Business Address
CUSTOM DENTAL OF CARROLLTON, PLLC
17610 MIDWAY RD STE 110
DALLAS, TX 75287-6741
Phone number: 405-227-6100
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Mailing Address
CUSTOM DENTAL OF CARROLLTON, PLLC
17610 MIDWAY RD STE 110
DALLAS, TX 75287-6741
Phone number: 405-227-6100
Copy
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