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215 S Fm 548 Ste B Forney TX 75126-4130 | |
| (972) 564-2222 | |
| (972) 564-2322 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 215 S Fm 548 Ste B, Forney, Texas |
| Authorized Official Name and Position | Joseph E Parker (ADMINISTRATOR) |
| Authorized Official Contact | 8179324981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
215 S. Fm 548 Forney TX 75126 Ph: (972) 296-1835 | 215 S Fm 548 Ste B Forney TX 75126-4130 Ph: (972) 564-2222 |
| NPI Number | 1174791073 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174791073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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