| Dental Resort | |
|
2100 Dallas Pkwy Ste 120 Plano TX 75093-4363 | |
| (530) 400-8008 | |
| (866) 892-0774 |
| Full Name | Dental Resort |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2100 Dallas Pkwy, Plano, Texas |
| Authorized Official Name and Position | Shawn Nemovi (OWNER) |
| Authorized Official Contact | 5304008008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Resort 2100 Dallas Pkwy Ste 120 Plano TX 75093-4363 Ph: (530) 400-8008 | Dental Resort 2100 Dallas Pkwy Ste 120 Plano TX 75093-4363 Ph: (530) 400-8008 |
| NPI Number | 1962948091 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962948091 | NPI | - | NPPES |
| 1669727558 | Other | TX | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28204 (Texas) | Primary |
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