NPI 1003383373

Northeast Dallas Dentistry, PC

Organisation Dentist Dallas, TX

Practice location

Address: 6401 East Northwest Highway Suite 100, Dallas, TX 75231
Phone: (214) 302-0807
Mailing address: 17000 Red Hill Ave, Irvine, CA 92614-5626

Authorised official

Name: Olivia Santillan
Title: Dds/Owner
Phone: (214) 302-0807

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003383373
Entity type: Organization
NPI issued: 25 Oct 2018
Record last updated: 25 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.