| Cfd Smile Of Desoto | |
|
1001 N Beckley Desoto TX 75115 | |
| (972) 224-5397 | |
| Not Available |
| Full Name | Cfd Smile Of Desoto |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 N Beckley, Desoto, Texas |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cfd Smile Of Desoto 1001 N Beckley Desoto TX 75115 Ph: (972) 224-5397 | Cfd Smile Of Desoto 1001 N Beckley Desoto TX 75115 Ph: (972) 224-5397 |
| NPI Number | 1033606694 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033606694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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