| Distinct Dental Studios | |
|
1370 W Beltline Rd Ste 100 Lancaster TX 75146 | |
| (972) 200-1589 | |
| Not Available |
| Full Name | Distinct Dental Studios |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1370 W Beltline Rd, Lancaster, Texas |
| Authorized Official Name and Position | Leo Davis (GENERAL DENTIST) |
| Authorized Official Contact | 9722001589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinct Dental Studios 1370 W Beltline Rd Ste 100 Lancaster TX 75146 Ph: (972) 200-1589 | Distinct Dental Studios 1370 W Beltline Rd Ste 100 Lancaster TX 75146 Ph: (972) 200-1589 |
| NPI Number | 1568834711 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568834711 | NPI | - | NPPES |
| 1851602882 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25591 (Texas) | Primary |
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