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2100 W Northwest Hwy Suite 204 Grapevine TX 76051-7808 | |
| (817) 329-6000 | |
| (817) 251-1833 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2100 W Northwest Hwy, Grapevine, Texas |
| Authorized Official Name and Position | Lawton Chu (PRESIDENT) |
| Authorized Official Contact | 8173296000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2100 W Northwest Hwy Suite 204 Grapevine TX 76051-7808 Ph: (817) 329-6000 | 2100 W Northwest Hwy Suite 204 Grapevine TX 76051-7808 Ph: (817) 329-6000 |
| NPI Number | 1003181025 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 03/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003181025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22151 (Texas) | Primary |
Mint Oral Surgery, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2805 E Grapevine Mills Cir Ste 180, Grapevine, TX 76051 Phone: 214-821-6468 | |
Toothhq Dental Specialists Grapevine Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 William D Tate Ave Ste 100, Grapevine, TX 76051 Phone: 214-731-0123 | |