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13901 Midway Rd Ste 106a Farmers Branch TX 75244-4359 | |
| (972) 239-4777 | |
| (972) 239-5542 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13901 Midway Rd, Farmers Branch, Texas |
| Authorized Official Name and Position | Marry Lee Hong (PRESIDENT) |
| Authorized Official Contact | 9722394777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13901 Midway Rd Ste 106a Farmers Branch TX 75244-4359 Ph: (972) 239-4777 | 13901 Midway Rd Ste 106a Farmers Branch TX 75244-4359 Ph: (972) 239-4777 |
| NPI Number | 1134423890 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 01/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134423890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25085 (Texas) | Primary |
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