| Forever Green Dental Pllc | |
|
4410 Lakeview Pkwy Ste A Rowlett TX 75088-4047 | |
| (469) 395-0452 | |
| Not Available |
| Full Name | Forever Green Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4410 Lakeview Pkwy Ste A, Rowlett, Texas |
| Authorized Official Name and Position | Michelle Tran (MANAGER/OWNER) |
| Authorized Official Contact | 2147277515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Green Dental Pllc 2705 Bechtol St Garland TX 75042-4021 Ph: () - | Forever Green Dental Pllc 4410 Lakeview Pkwy Ste A Rowlett TX 75088-4047 Ph: (469) 395-0452 |
| NPI Number | 1447915780 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447915780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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