| Beyond 35 Llc | |
|
1752 Broad Park Cir N Ste 100 Mansfield TX 76063-7824 | |
| (817) 225-3223 | |
| Not Available |
| Full Name | Beyond 35 Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1752 Broad Park Cir N Ste 100, Mansfield, Texas |
| Authorized Official Name and Position | Rosa Beck (CEO) |
| Authorized Official Contact | 2144580862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond 35 Llc 1752 Broad Park Cir N Ste 100 Mansfield TX 76063-7824 Ph: (817) 225-3223 | Beyond 35 Llc 1752 Broad Park Cir N Ste 100 Mansfield TX 76063-7824 Ph: (817) 225-3223 |
| NPI Number | 1285345736 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285345736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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