JEFFREY SCOTT LIDE

RICHARDSON, TX
NPI1508914011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  TX18133)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Dr. JEFFREY SCOTT LIDE D.D.S.
330 MUNICIPAL DR STE 100
RICHARDSON, TX 75080-3541
Phone number: 972-479-0477
Mailing Address
Dr. JEFFREY SCOTT LIDE D.D.S.
330 MUNICIPAL DR STE 100
RICHARDSON, TX 75080-3541
Phone number: 972-479-0477
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