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3046 Lavon Dr Suite 112 Garland TX 75040-8794 | |
| (972) 414-5530 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3046 Lavon Dr, Garland, Texas |
| Authorized Official Name and Position | Mike Dee Allen (DOCTOR/OWNER) |
| Authorized Official Contact | 9724145530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3046 Lavon Dr Suite 112 Garland TX 75040-8794 Ph: (972) 414-5530 | 3046 Lavon Dr Suite 112 Garland TX 75040-8794 Ph: (972) 414-5530 |
| NPI Number | 1376718304 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376718304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8395 (Texas) | Primary |
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