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105 E Belt Line Rd Ste 900 Cedar Hill TX 75104-2201 | |
| (214) 821-6468 | |
| (972) 293-1007 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 105 E Belt Line Rd, Cedar Hill, Texas |
| Authorized Official Name and Position | Field Harrison (CEO) |
| Authorized Official Contact | 2148216468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3201 W Airport Freeway Ste 102 Irving TX 75062 Ph: (972) 893-8730 | 105 E Belt Line Rd Ste 900 Cedar Hill TX 75104-2201 Ph: (214) 821-6468 |
| NPI Number | 1770823593 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770823593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23874 (Texas) | Primary |
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