Mangoleaf Dental Pllc | |
3501 Fm 407 E Ste 200 Lantana TX 76226-9769 | |
(940) 489-1660 | |
(972) 408-0736 |
Full Name | Mangoleaf Dental Pllc |
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Speciality | Dentist - General Practice |
Location | 3501 Fm 407 E Ste 200, Lantana, Texas |
Authorized Official Name and Position | Jeremy Freeman (OFFICE MANAGER) |
Authorized Official Contact | 9402282250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mangoleaf Dental Pllc 3501 Fm 407 E Ste 200 Lantana TX 76226-9769 Ph: (940) 489-1660 | Mangoleaf Dental Pllc 3501 Fm 407 E Ste 200 Lantana TX 76226-9769 Ph: (940) 489-1660 |
NPI Number | 1265198618 |
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Provider Enumeration Date | 11/10/2021 |
Last Update Date | 11/10/2021 |
Identifier | Type | State | Issuer |
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1265198618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |