MEDICARE: DR. DENISE ELLEN TURUNEN D.D.S., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	16403	TX

General Provider Information

NPI Number	:	1003939562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE ELLEN TURUNEN D.D.S., M.S.

Provider Business Mailing Address
First Line	:	251 O CONNOR RIDGE BLVD
Second Line	:	SUITE 380
City	:	IRVING
State	:	TX
Zip	:	75038-6514
Country	:	US
Telephone Number	:	972-717-9392
Fax Number	:	972-717-9391

Provider Business Practice Location Address
First Line	:	251 O CONNOR RIDGE BLVD
Second Line	:	SUITE 380
City	:	IRVING
State	:	TX
Zip	:	75038-6514
Country	:	US
Telephone Number	:	972-717-9392
Fax Number	:	972-717-9391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	07/20/2007

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