Deer Park Dental | |
2705 Center St Deer Park TX 77536-4955 | |
(281) 479-8668 | |
(281) 930-0400 |
Full Name | Deer Park Dental |
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Speciality | Dentist |
Location | 2705 Center St, Deer Park, Texas |
Authorized Official Name and Position | Gregg E Mosley (OWNER) |
Authorized Official Contact | 2814798668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deer Park Dental 2705 Center St Deer Park TX 77536-4955 Ph: (281) 479-8668 | Deer Park Dental 2705 Center St Deer Park TX 77536-4955 Ph: (281) 479-8668 |
NPI Number | 1902285992 |
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Provider Enumeration Date | 05/22/2015 |
Last Update Date | 05/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902285992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0014960 (Texas) | Primary |
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