| Ira Mims Dds, Pa | |
|
1565 W Main St Suite 205 Lewisville TX 75067-3394 | |
| (972) 436-0788 | |
| (972) 436-9188 |
| Full Name | Ira Mims Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1565 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Ira Mims (DENTIST) |
| Authorized Official Contact | 9724360788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ira Mims Dds, Pa 1565 W Main St Suite 205 Lewisville TX 75067-3394 Ph: (972) 436-0788 | Ira Mims Dds, Pa 1565 W Main St Suite 205 Lewisville TX 75067-3394 Ph: (972) 436-0788 |
| NPI Number | 1174940761 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 05/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174940761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29332 (Texas) | Primary |
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