| Main Street Dental | |
|
1302 S Main St Suite 120 Weatherford TX 76086-6578 | |
| (682) 583-5042 | |
| Not Available |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1302 S Main St, Weatherford, Texas |
| Authorized Official Name and Position | Souvik Sarkar (OWNER / DENTIST) |
| Authorized Official Contact | 6825835042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental 1302 S Main St Suite 120 Weatherford TX 76086-6578 Ph: () - | Main Street Dental 1302 S Main St Suite 120 Weatherford TX 76086-6578 Ph: (682) 583-5042 |
| NPI Number | 1194177238 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194177238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31104 (Texas) | Primary |
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