Mobile Gentle Dentistry Pllc | |
820 S Macarthur Blvd 105-363 Coppell TX 75019-4216 | |
(214) 519-8427 | |
Not Available |
Full Name | Mobile Gentle Dentistry Pllc |
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Speciality | Dentist - General Practice |
Location | 820 S Macarthur Blvd, Coppell, Texas |
Authorized Official Name and Position | Glenn Leon Vo (OWNER) |
Authorized Official Contact | 2145198427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mobile Gentle Dentistry Pllc 820 S Macarthur Blvd 105-363 Coppell TX 75019-4216 Ph: (214) 519-8427 | Mobile Gentle Dentistry Pllc 820 S Macarthur Blvd 105-363 Coppell TX 75019-4216 Ph: (214) 519-8427 |
NPI Number | 1518275619 |
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Provider Enumeration Date | 09/22/2010 |
Last Update Date | 09/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518275619 | NPI | - | NPPES |
184801206 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 23273 (Texas) | Primary |
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