Legacy Dental Of Grand Prairie Pllc | |
902 W Pioneer Pkwy # 200 Grand Prairie TX 75051-4737 | |
(214) 444-9958 | |
(214) 444-9959 |
Full Name | Legacy Dental Of Grand Prairie Pllc |
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Speciality | Dentist - General Practice |
Location | 902 W Pioneer Pkwy # 200, Grand Prairie, Texas |
Authorized Official Name and Position | Sohail Dar (OWNER) |
Authorized Official Contact | 2144449958 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Dental Of Grand Prairie Pllc 902 W Pioneer Pkwy Ste 200 Grand Prairie TX 75051-4737 Ph: (214) 444-9958 | Legacy Dental Of Grand Prairie Pllc 902 W Pioneer Pkwy # 200 Grand Prairie TX 75051-4737 Ph: (214) 444-9958 |
NPI Number | 1215685227 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 08/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215685227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Thad Taylor Iv Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 Phone: 972-647-8008 Fax: 972-660-8509 | |
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