| Independence Dental | |
|
3100 Independence Pkwy Ste 204 Plano TX 75075-1996 | |
| (925) 890-6041 | |
| Not Available |
| Full Name | Independence Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3100 Independence Pkwy Ste 204, Plano, Texas |
| Authorized Official Name and Position | Nastassia Ulasik (DOCTOR OF DENTAL SURGERY/OWNER) |
| Authorized Official Contact | 9258906041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Dental 13466 Allenwood Ave Frisco TX 75035-7853 Ph: (925) 890-6041 | Independence Dental 3100 Independence Pkwy Ste 204 Plano TX 75075-1996 Ph: (925) 890-6041 |
| NPI Number | 1497255657 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497255657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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