| Grace Dental, P.a. | |
|
1417 N Belt Line Rd Irving TX 75061-1501 | |
| (972) 870-1200 | |
| (972) 870-9529 |
| Full Name | Grace Dental, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1417 N Belt Line Rd, Irving, Texas |
| Authorized Official Name and Position | Sammy S Lim (PRESIDENT) |
| Authorized Official Contact | 9728701200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental, P.a. 1417 N Belt Line Rd Irving TX 75061-1501 Ph: (972) 870-1200 | Grace Dental, P.a. 1417 N Belt Line Rd Irving TX 75061-1501 Ph: (972) 870-1200 |
| NPI Number | 1427275072 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427275072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20875 (Texas) | Primary |
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