| Gold Coast Dental Dallas | |
|
11834 Harry Hines Blvd Suite 109 Dallas TX 75234-5906 | |
| (469) 966-2211 | |
| (866) 744-5324 |
| Full Name | Gold Coast Dental Dallas |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11834 Harry Hines Blvd Suite 109, Dallas, Texas |
| Authorized Official Name and Position | Alan Boval (TREASURER) |
| Authorized Official Contact | 5623560948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Dental Dallas 901 W. Whittier Blvd La Habra CA 90631-3742 Ph: (562) 356-0948 | Gold Coast Dental Dallas 11834 Harry Hines Blvd Suite 109 Dallas TX 75234-5906 Ph: (469) 966-2211 |
| NPI Number | 1700621596 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700621596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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