Provider Demographics
NPI:1912447988
Name:KARINA MARR DDS PLLC
Entity Type:Organization
Organization Name:KARINA MARR DDS PLLC
Other - Org Name:PEDIATRIC DENTAL CARE AT CASA LINDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-321-4880
Mailing Address - Street 1:9409 GARLAND RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3424
Mailing Address - Country:US
Mailing Address - Phone:214-321-4880
Mailing Address - Fax:888-607-0096
Practice Address - Street 1:9409 GARLAND RD
Practice Address - Street 2:SUITE 110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3424
Practice Address - Country:US
Practice Address - Phone:214-321-4880
Practice Address - Fax:888-607-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty