| |
1625 Pecan Park Dr Arlington TX 76012-3044 | |
(972) 362-2225 | |
(972) 362-2226 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 1625 Pecan Park Dr, Arlington, Texas |
Authorized Official Name and Position | Maxim Mouratov Mossman (DR. (OWNER)) |
Authorized Official Contact | 9723622225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1625 Pecan Park Dr Arlington TX 76012-3044 Ph: (972) 362-2225 | 1625 Pecan Park Dr Arlington TX 76012-3044 Ph: (972) 362-2225 |
NPI Number | 1538778493 |
---|---|
Provider Enumeration Date | 07/27/2020 |
Last Update Date | 02/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538778493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Star Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5615 Sw Green Oaks Blvd, Arlington, TX 76017 Phone: 817-483-1692 Fax: 817-483-1792 | |
P&g Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4050 S Collins St Ste 300, Arlington, TX 76014 Phone: 817-476-7738 | |
West Park Row Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3008a West Park Row Dr, Arlington, TX 76013 Phone: 817-277-1301 Fax: 817-277-4795 | |