Provider Demographics
NPI:1528520863
Name:LAURA G TAIMAN DDS PLLC
Entity type:Organization
Organization Name:LAURA G TAIMAN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:GIULIANA
Authorized Official - Last Name:TAIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:469-577-1587
Mailing Address - Street 1:6139 MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5058
Mailing Address - Country:US
Mailing Address - Phone:469-776-5912
Mailing Address - Fax:
Practice Address - Street 1:17000 PRESTON RD STE 480
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1224
Practice Address - Country:US
Practice Address - Phone:469-577-1587
Practice Address - Fax:469-577-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty