| Loyal Family Dentistry | |
|
1021 Sw 3rd St Grand Prairie TX 75051-3070 | |
| (972) 264-4791 | |
| Not Available |
| Full Name | Loyal Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1021 Sw 3rd St, Grand Prairie, Texas |
| Authorized Official Name and Position | Ehsan Javidan Nejad (MANAGER) |
| Authorized Official Contact | 3135292404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loyal Family Dentistry 301 Las Colinas Blvd W # 404 Irving TX 75039-5477 Ph: (313) 529-2404 | Loyal Family Dentistry 1021 Sw 3rd St Grand Prairie TX 75051-3070 Ph: (972) 264-4791 |
| NPI Number | 1003280371 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003280371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27429 (Texas) | Primary |
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