EAST LAKE DENTAL, PLLC

DALLAS, TX
NPI1568992261
Entity TypeOrganization
Authorized ContactBRENT STEVEN DESUTTER
Dentist
972-559-4185
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2017-06-14
Last Update Date2017-10-10
Business Address
EAST LAKE DENTAL, PLLC
718 N BUCKNER BLVD STE 110
DALLAS, TX 75218-2764
Phone number: 214-295-8440
Mailing Address
EAST LAKE DENTAL, PLLC
718 N BUCKNER BLVD STE 110
DALLAS, TX 75218-2764
Phone number: 214-295-8440
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