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5932 W Parker Rd Plano TX 75093-6425 | |
| (972) 985-1580 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5932 W Parker Rd, Plano, Texas |
| Authorized Official Name and Position | Courtney Monteith (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5932 W Parker Rd Ste 600 Plano TX 75093-6406 Ph: () - | 5932 W Parker Rd Plano TX 75093-6425 Ph: (972) 985-1580 |
| NPI Number | 1770055360 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770055360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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