| Advant Dental Pa | |
|
1550 S Custer Rd Ste 100 Mckinney TX 75070-6435 | |
| (972) 346-2992 | |
| (972) 347-9960 |
| Full Name | Advant Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1550 S Custer Rd Ste 100, Mckinney, Texas |
| Authorized Official Name and Position | Mojan E Safavi (PRESIDENT) |
| Authorized Official Contact | 9723462992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advant Dental Pa 5729 Lebanon Rd Ste 144 Box 347 Frisco TX 75034-7259 Ph: (972) 346-2992 | Advant Dental Pa 1550 S Custer Rd Ste 100 Mckinney TX 75070-6435 Ph: (972) 346-2992 |
| NPI Number | 1700117728 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700117728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21289 (Texas) | Primary |
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