| Myriad Dental Studio Pllc | |
|
3000 Fm 407 E Ste 300 Bartonville TX 76226-9366 | |
| (719) 466-3467 | |
| Not Available |
| Full Name | Myriad Dental Studio Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3000 Fm 407 E Ste 300, Bartonville, Texas |
| Authorized Official Name and Position | Diana Lopez (DENTIST) |
| Authorized Official Contact | 9402262000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myriad Dental Studio Pllc 3000 Fm 407 E Ste 300 Bartonville TX 76226-9366 Ph: (719) 466-3467 | Myriad Dental Studio Pllc 3000 Fm 407 E Ste 300 Bartonville TX 76226-9366 Ph: (719) 466-3467 |
| NPI Number | 1730924259 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730924259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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