| Dental Delite Pg Pa | |
|
8222 Bruton Rd Dallas TX 75217-1902 | |
| (214) 398-1234 | |
| (866) 610-0446 |
| Full Name | Dental Delite Pg Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8222 Bruton Rd, Dallas, Texas |
| Authorized Official Name and Position | Dominique Valladarez (GENERAL MANAGER) |
| Authorized Official Contact | 2143981234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Delite Pg Pa Po Box 172198 Dallas TX 75217-1108 Ph: (214) 398-1234 | Dental Delite Pg Pa 8222 Bruton Rd Dallas TX 75217-1902 Ph: (214) 398-1234 |
| NPI Number | 1700665601 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700665601 | NPI | - | NPPES |
| 1477937167 | Medicaid | TX | |
| 1346978376 | Medicaid | TX | |
| 1497443980 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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