Harvard Avenue Dental Care Pa

LBN: Harvard Avenue Dental Care Pa
Harvard Avenue Dental Care Pa is an health care organization with primary practice located at 3131 Harvard Avenue Suite 107, Dallas TX 75205. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Harvard Avenue Dental Care Pa can be contacted via phone (214) 521-2258, or through Petrutsas, Lyle Paul via phone (214) 521-2258.

Contact Information

Primary practice address
3131 Harvard Avenue Suite 107 Dallas TX 75205
Fax: (214) 521-3425
Website:
Authorized official contact:
Name: Petrutsas, Lyle Paul Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18774 Texas

Profile Details

NPI number 1659425759
LBN Legal business name Harvard Avenue Dental Care Pa
DBA Doing business as
Authorized official Petrutsas, Lyle Paul Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 8th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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