1010 Emergency Dental Pllc | |
507 Jefferson Ln Lake Dallas TX 75065-3489 | |
(703) 477-4659 | |
Not Available |
Full Name | 1010 Emergency Dental Pllc |
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Speciality | Clinic/center - Dental |
Location | 507 Jefferson Ln, Lake Dallas, Texas |
Authorized Official Name and Position | Jake Kim (OWNER) |
Authorized Official Contact | 7034774659 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1010 Emergency Dental Pllc 507 Jefferson Ln Lake Dallas TX 75065-3489 Ph: () - | 1010 Emergency Dental Pllc 507 Jefferson Ln Lake Dallas TX 75065-3489 Ph: (703) 477-4659 |
NPI Number | 1730915802 |
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Provider Enumeration Date | 09/13/2024 |
Last Update Date | 11/24/2024 |
Identifier | Type | State | Issuer |
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1730915802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |