| 121 Dental Care, Pa | |
|
380 E State Highway 121 Business Suite 160 Lewisville TX 75057 | |
| (972) 221-8888 | |
| Not Available |
| Full Name | 121 Dental Care, Pa |
|---|---|
| Speciality | Dentist |
| Location | 380 E State Highway 121 Business, Lewisville, Texas |
| Authorized Official Name and Position | Afshin Vahadi (PRESIDENT) |
| Authorized Official Contact | 9722218888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 121 Dental Care, Pa 380 E State Highway 121 Business Suite 160 Lewisville TX 75057 Ph: (972) 221-8888 | 121 Dental Care, Pa 380 E State Highway 121 Business Suite 160 Lewisville TX 75057 Ph: (972) 221-8888 |
| NPI Number | 1346483062 |
|---|---|
| Provider Enumeration Date | 04/10/2009 |
| Last Update Date | 04/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346483062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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