| Lifetime Mobile Dental | |
|
1908 Central Dr Ste D Bedford TX 76021-5822 | |
| (817) 285-5880 | |
| Not Available |
| Full Name | Lifetime Mobile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1908 Central Dr Ste D, Bedford, Texas |
| Authorized Official Name and Position | Bhavik Mohanlal (DENTIST) |
| Authorized Official Contact | 9729510470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Mobile Dental 2205 Stennett Dr Arlington TX 76006-2807 Ph: (972) 951-0470 | Lifetime Mobile Dental 1908 Central Dr Ste D Bedford TX 76021-5822 Ph: (817) 285-5880 |
| NPI Number | 1427767755 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427767755 | NPI | - | NPPES |
| 1134893233 | Medicaid | TX | |
| 1427767755 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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