| Mesquite Tooth Fairy Pllc | |
|
3600 Gus Thomasson Rd Ste 145 Mesquite TX 75150-6730 | |
| (972) 656-0750 | |
| Not Available |
| Full Name | Mesquite Tooth Fairy Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3600 Gus Thomasson Rd Ste 145, Mesquite, Texas |
| Authorized Official Name and Position | Yuexi Chen (DENTIST/OWNER) |
| Authorized Official Contact | 6462626648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Tooth Fairy Pllc 3600 Gus Thomasson Rd Ste 145 Mesquite TX 75150-6730 Ph: (972) 656-0750 | Mesquite Tooth Fairy Pllc 3600 Gus Thomasson Rd Ste 145 Mesquite TX 75150-6730 Ph: (972) 656-0750 |
| NPI Number | 1942076302 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942076302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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