| Mabry And Coniglio Dentistry | |
|
271 E Southlake Blvd Ste 100 Southlake TX 76092-6272 | |
| (817) 329-6677 | |
| (817) 488-4995 |
| Full Name | Mabry And Coniglio Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 271 E Southlake Blvd Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Melinda Britton (TREATMENT COORDINATOR) |
| Authorized Official Contact | 8173296677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mabry And Coniglio Dentistry 271 E Southlake Blvd Ste 100 Southlake TX 76092-6272 Ph: (817) 329-6677 | Mabry And Coniglio Dentistry 271 E Southlake Blvd Ste 100 Southlake TX 76092-6272 Ph: (817) 329-6677 |
| NPI Number | 1346757960 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346757960 | NPI | - | NPPES |
| 1568500197 | Other | TX | DENTAL |
| 1639307051 | Other | TX | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10892 (Texas) | Primary |
| 261QD0000X | Clinic/center - Dental | 24577 (Texas) | Secondary |
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