| Katy Trail Dental | |
|
4152 Buena Vista St Dallas TX 75204-7813 | |
| (214) 520-1112 | |
| (214) 520-1190 |
| Full Name | Katy Trail Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4152 Buena Vista St, Dallas, Texas |
| Authorized Official Name and Position | G. Scott Marshall (OWNER/PARTNER) |
| Authorized Official Contact | 9034552942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Trail Dental 17480 Dallas Pkwy Suite 213 Dallas TX 75287-7337 Ph: (972) 248-1221 | Katy Trail Dental 4152 Buena Vista St Dallas TX 75204-7813 Ph: (214) 520-1112 |
| NPI Number | 1861718934 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861718934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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