| Dba Southlake Family Dental Care | |
|
2000 E Highway 114 Southlake TX 76092-6514 | |
| (817) 421-1444 | |
| (817) 421-1411 |
| Full Name | Dba Southlake Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 E Highway 114, Southlake, Texas |
| Authorized Official Name and Position | Angelica N. Frank (OWNER) |
| Authorized Official Contact | 8174211444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Southlake Family Dental Care 2000 E Highway 114 Southlake TX 76092-6514 Ph: (817) 421-1444 | Dba Southlake Family Dental Care 2000 E Highway 114 Southlake TX 76092-6514 Ph: (817) 421-1444 |
| NPI Number | 1770914954 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770914954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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