| Kleen Dental | |
|
838 S Carrier Pkwy Grand Prairie TX 75051-1517 | |
| (214) 247-7255 | |
| Not Available |
| Full Name | Kleen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 838 S Carrier Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Vaishnavi Iyer (DENTIST) |
| Authorized Official Contact | 2142477255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kleen Dental 838 S Carrier Pkwy Grand Prairie TX 75051-1517 Ph: (214) 247-7255 | Kleen Dental 838 S Carrier Pkwy Grand Prairie TX 75051-1517 Ph: (214) 247-7255 |
| NPI Number | 1770833246 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 02/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770833246 | NPI | - | NPPES |
| 212704505 | Medicaid | TX | |
| 306940301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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