Main Street Dental Care Pc | |
1024 S Main Mcgregor TX 76657 | |
(254) 840-2991 | |
Not Available |
Full Name | Main Street Dental Care Pc |
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Speciality | Dentist |
Location | 1024 S Main, Mcgregor, Texas |
Authorized Official Name and Position | John M Shultz (OWNER/PROVIDER) |
Authorized Official Contact | 2548402991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Dental Care Pc 1024 S Main Mcgregor TX 76657 Ph: (254) 840-2991 | Main Street Dental Care Pc 1024 S Main Mcgregor TX 76657 Ph: (254) 840-2991 |
NPI Number | 1215302948 |
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Provider Enumeration Date | 12/07/2015 |
Last Update Date | 12/07/2015 |
Identifier | Type | State | Issuer |
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1215302948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |