| Excellentia Pllc | |
|
4275 Miles Rd Sachse TX 75048-4886 | |
| (469) 589-5437 | |
| Not Available |
| Full Name | Excellentia Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4275 Miles Rd, Sachse, Texas |
| Authorized Official Name and Position | Ademola O. Cole (PEDIATRIC DENTAL PRACTICE OWNER) |
| Authorized Official Contact | 2025539494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellentia Pllc 3512 Morris St Dallas TX 75212-2352 Ph: (202) 553-9494 | Excellentia Pllc 4275 Miles Rd Sachse TX 75048-4886 Ph: (469) 589-5437 |
| NPI Number | 1003701186 |
|---|---|
| Provider Enumeration Date | 06/10/2025 |
| Last Update Date | 06/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003701186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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