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724 W Main St Ste 316 Lewisville TX 75067 | |
(469) 312-6201 | |
(469) 312-6202 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 724 W Main St Ste 316, Lewisville, Texas |
Authorized Official Name and Position | Dale Mayfield (PRESIDENT) |
Authorized Official Contact | 7709165036 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 Ph: (770) 916-5036 | 724 W Main St Ste 316 Lewisville TX 75067 Ph: (469) 312-6201 |
NPI Number | 1023508819 |
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Provider Enumeration Date | 05/16/2018 |
Last Update Date | 05/23/2018 |
Identifier | Type | State | Issuer |
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1023508819 | NPI | - | NPPES |
Valley Square Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 W Main St Ste 316, Lewisville, TX 75067 Phone: 945-250-0530 Fax: 945-250-0535 | |
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