Organization · Type 2 NPI

Waterfront Family Dentistry PLLC

Dental Clinic/Center · Frisco, TX

NPI number 1760072193 Active

Practice location

255 W Lebanon Ste 300
Frisco, TX 75036-3415

Fax (972) 987-4346

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1760072193
Entity type: Organization (Type 2)
Issued: Jan 20, 2021
Last updated: Oct 19, 2023
Status: Active

Other names

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Chase Oaks Family Dentistry · doing business as
Chase Oaks Family Dentistry · doing business as

Authorized official

Lavanya Rudrapatna, DMD
Owner
(214) 563-5333

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About NPI 1760072193

Waterfront Family Dentistry PLLC's National Provider Identifier is 1760072193, issued on Jan 20, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Frisco, TX. The record was last updated on Oct 19, 2023.