| Desoto Mint Dentistry | |
|
1100 E Pleasant Run Rd 175 Desoto TX 75115-4787 | |
| (214) 821-6468 | |
| Not Available |
| Full Name | Desoto Mint Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 E Pleasant Run Rd, Desoto, Texas |
| Authorized Official Name and Position | Field Harrison (CEO) |
| Authorized Official Contact | 2148216468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Mint Dentistry 3201 W Airport Freeway Ste 102 Irving TX 75062 Ph: (972) 893-8730 | Desoto Mint Dentistry 1100 E Pleasant Run Rd 175 Desoto TX 75115-4787 Ph: (214) 821-6468 |
| NPI Number | 1821448135 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821448135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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