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2805 E Grapevine Mills Cir # 108 Grapevine TX 76051-1210 | |
(214) 821-6468 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 2805 E Grapevine Mills Cir, Grapevine, Texas |
Authorized Official Name and Position | Field Harrison (CEO) |
Authorized Official Contact | 2148216468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3201 W Airport Freeway Ste 102 Irving TX 75062 Ph: (972) 893-8730 | 2805 E Grapevine Mills Cir # 108 Grapevine TX 76051-1210 Ph: (214) 821-6468 |
NPI Number | 1730552100 |
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Provider Enumeration Date | 11/07/2015 |
Last Update Date | 01/29/2019 |
Identifier | Type | State | Issuer |
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1730552100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mint Oral Surgery, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2805 E Grapevine Mills Cir Ste 180, Grapevine, TX 76051 Phone: 214-821-6468 | |
Toothhq Dental Specialists Grapevine Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 William D Tate Ave Ste 100, Grapevine, TX 76051 Phone: 214-731-0123 | |