| 6 Day Dental & Orthodontics | |
|
200 Tx-114 Roanoke TX 76262 | |
| (817) 567-8040 | |
| Not Available |
| Full Name | 6 Day Dental & Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 Tx-114, Roanoke, Texas |
| Authorized Official Name and Position | Young Shim (SOLE MEMBER) |
| Authorized Official Contact | 4045120760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 6 Day Dental & Orthodontics 212 Old Grande Blvd Ste B224 Tyler TX 75703-4277 Ph: (903) 509-0505 | 6 Day Dental & Orthodontics 200 Tx-114 Roanoke TX 76262 Ph: (817) 567-8040 |
| NPI Number | 1912414251 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912414251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 31033 (Texas) | Primary |
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