| Lone Star Dental Anesthesia | |
|
4112 E Renner Rd Richardson TX 75082-2832 | |
| (972) 536-3972 | |
| Not Available |
| Full Name | Lone Star Dental Anesthesia |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 4112 E Renner Rd, Richardson, Texas |
| Authorized Official Name and Position | Jinsoo Kim (OWNER) |
| Authorized Official Contact | 9725363972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Dental Anesthesia 4112 E Renner Rd Richardson TX 75082-2832 Ph: (972) 536-3972 | Lone Star Dental Anesthesia 4112 E Renner Rd Richardson TX 75082-2832 Ph: (972) 536-3972 |
| NPI Number | 1295210573 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295210573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
Richardson Oral Surgery And Implant Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1070 W Campbell Rd, Suite 200, Richardson, TX 75080 Phone: 972-231-6661 Fax: 972-231-3161 | |
Jay L. Nutt & C. Fred Pietsch, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 E Belt Line Rd, Suite 103, Richardson, TX 75081 Phone: 972-690-8617 Fax: 972-690-6423 | |