MEDICARE: SABRINA L DRAGAN DMD

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	1223P0221X	Pediatric Dentistry	31454	TX
2	1223P0221X	Pediatric Dentistry	203074	CO

General Provider Information

NPI Number	:	1811389588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA L DRAGAN DMD

Provider Business Mailing Address
First Line	:	1151 N BUCKNER BLVD STE 402
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3407
Country	:	US
Telephone Number	:	214-324-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 N BUCKNER BLVD STE 402
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3407
Country	:	US
Telephone Number	:	214-324-5437
Fax Number	:

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

Provider Enumeration Date	:	03/04/2015
Last Update Date	:	09/14/2020

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Directions to “ SABRINA L DRAGAN DMD” Practice Location

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