| Desoto Happy Teeth Pc | |
|
701 N Hampton Rd Desoto TX 75115-4509 | |
| (972) 230-0155 | |
| (972) 230-0741 |
| Full Name | Desoto Happy Teeth Pc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 701 N Hampton Rd, Desoto, Texas |
| Authorized Official Name and Position | Charles Ivan Williams (DENTIST) |
| Authorized Official Contact | 9722300155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Happy Teeth Pc 701 N Hampton Rd Desoto TX 75115-4509 Ph: (972) 230-0155 | Desoto Happy Teeth Pc 701 N Hampton Rd Desoto TX 75115-4509 Ph: (972) 230-0155 |
| NPI Number | 1679171813 |
|---|---|
| Provider Enumeration Date | 10/10/2020 |
| Last Update Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679171813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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