| Central Park Dental And Orthodontics | |
|
1101 Alexis Ct # 101 Mansfield TX 76063-3338 | |
| (817) 466-1200 | |
| (817) 466-1201 |
| Full Name | Central Park Dental And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1101 Alexis Ct # 101, Mansfield, Texas |
| Authorized Official Name and Position | Jiyoung M Jung (OWNER) |
| Authorized Official Contact | 4695834092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Park Dental And Orthodontics 1101 Alexis Ct # 101 Mansfield TX 76063-3338 Ph: (817) 466-1200 | Central Park Dental And Orthodontics 1101 Alexis Ct # 101 Mansfield TX 76063-3338 Ph: (817) 466-1200 |
| NPI Number | 1811425507 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811425507 | NPI | - | NPPES |
| 31181 | Other | TX | DENTAL LICNESE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31181 (Texas) | Primary |
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