Dfw Dental Service | |
209 S O Connor Rd Irving TX 75060-2950 | |
(972) 251-1701 | |
Not Available |
Full Name | Dfw Dental Service |
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Speciality | Clinic/center - Dental |
Location | 209 S O Connor Rd, Irving, Texas |
Authorized Official Name and Position | Myoungsoo Kwon (DENTIST) |
Authorized Official Contact | 9722511701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dfw Dental Service 209 S O Connor Rd Irving TX 75060-2950 Ph: (972) 251-1701 | Dfw Dental Service 209 S O Connor Rd Irving TX 75060-2950 Ph: (972) 251-1701 |
NPI Number | 1962983346 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 08/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962983346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 31038 (Texas) | Primary |
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Dental Republic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E Irving Blvd, Irving, TX 75060 Phone: 972-747-1400 | |
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