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3408 Verona Dr Corinth TX 76210-2863 | |
| (617) 992-0104 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 3408 Verona Dr, Corinth, Texas |
| Authorized Official Name and Position | Eric Han (PRESIDENT) |
| Authorized Official Contact | 6179920104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3408 Verona Dr Corinth TX 76210-2863 Ph: (617) 992-0104 | 3408 Verona Dr Corinth TX 76210-2863 Ph: (617) 992-0104 |
| NPI Number | 1053928911 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053928911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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