| Mydentist-texarkana | |
|
3225 Kennedy Ln Texarkana TX 75503-2428 | |
| (903) 223-0030 | |
| Not Available |
| Full Name | Mydentist-texarkana |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3225 Kennedy Ln, Texarkana, Texas |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist-texarkana 3225 Kennedy Ln Texarkana TX 75503-2428 Ph: () - | Mydentist-texarkana 3225 Kennedy Ln Texarkana TX 75503-2428 Ph: (903) 223-0030 |
| NPI Number | 1699195271 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699195271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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The Kids Spot Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5489 Summerhill Rd, Texarkana, TX 75503 Phone: 870-648-5608 Fax: 903-223-6006 | |
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Genesis Primecare Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
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