| Oak Cliff Family Dental Pllc | |
|
1017 Fort Worth St Grand Prairie TX 75050-5402 | |
| (214) 412-2595 | |
| Not Available |
| Full Name | Oak Cliff Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1017 Fort Worth St, Grand Prairie, Texas |
| Authorized Official Name and Position | Sang Park (MANAGING MEMBER) |
| Authorized Official Contact | 2144122595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Cliff Family Dental Pllc 1017 Forth Worth St 100 Grand Prairie TX 75050 Ph: (214) 412-2595 | Oak Cliff Family Dental Pllc 1017 Fort Worth St Grand Prairie TX 75050-5402 Ph: (214) 412-2595 |
| NPI Number | 1093173312 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093173312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23653 (Texas) | Primary |
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