Heartland Mirror Lake Dentistry Pllc | |
2049 Sunnybrook Dr Heartland TX 75126-1270 | |
(972) 200-4311 | |
Not Available |
Full Name | Heartland Mirror Lake Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 2049 Sunnybrook Dr, Heartland, Texas |
Authorized Official Name and Position | Justin Humphries (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9722004311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heartland Mirror Lake Dentistry Pllc 2049 Sunnybrook Dr Heartland TX 75126-1270 Ph: (972) 200-4311 | Heartland Mirror Lake Dentistry Pllc 2049 Sunnybrook Dr Heartland TX 75126-1270 Ph: (972) 200-4311 |
NPI Number | 1558858704 |
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Provider Enumeration Date | 04/13/2018 |
Last Update Date | 04/13/2018 |
Identifier | Type | State | Issuer |
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1558858704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 29699 (Texas) | Primary |