| My T Dental | |
|
1150 W Kiest Blvd Ste 200d Dallas TX 75224-3231 | |
| (832) 677-3930 | |
| Not Available |
| Full Name | My T Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1150 W Kiest Blvd Ste 200d, Dallas, Texas |
| Authorized Official Name and Position | Shelly Xuan Tran (DENTIST) |
| Authorized Official Contact | 8326773930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My T Dental Po Box 763639 Dallas TX 75376-3639 Ph: (832) 677-3930 | My T Dental 1150 W Kiest Blvd Ste 200d Dallas TX 75224-3231 Ph: (832) 677-3930 |
| NPI Number | 1518250372 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518250372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23909 (Texas) | Primary |
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