| Custer Star Dental Group | |
|
15950 Eldorado Pkwy Suite 100 Frisco TX 75035 | |
| (972) 540-9977 | |
| Not Available |
| Full Name | Custer Star Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15950 Eldorado Pkwy Suite 100, Frisco, Texas |
| Authorized Official Name and Position | John S Barnes (CONTRACTS ADMIN) |
| Authorized Official Contact | 9725409977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custer Star Dental Group 2860 Michelle Fl 2 Irvine CA 92606-1008 Ph: (714) 368-2077 | Custer Star Dental Group 15950 Eldorado Pkwy Suite 100 Frisco TX 75035 Ph: (972) 540-9977 |
| NPI Number | 1245532688 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245532688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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