| Fearless Dental Pc | |
|
101 Austin Blvd Suite 100 Red Oak TX 75154 | |
| (972) 617-3322 | |
| (972) 617-3315 |
| Full Name | Fearless Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 101 Austin Blvd, Red Oak, Texas |
| Authorized Official Name and Position | Alan Martin (OWNER) |
| Authorized Official Contact | 4692619160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fearless Dental Pc 101 Austin Blvd Suite 100 Red Oak TX 75154-4666 Ph: (972) 617-3322 | Fearless Dental Pc 101 Austin Blvd Suite 100 Red Oak TX 75154 Ph: (972) 617-3322 |
| NPI Number | 1235488669 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235488669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21256 (Texas) | Primary |
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