| Park Dental Clinic | |
|
771 W Round Grove Rd Ste W100 Lewisville TX 75067 | |
| (469) 293-2530 | |
| Not Available |
| Full Name | Park Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 771 W Round Grove Rd, Lewisville, Texas |
| Authorized Official Name and Position | Wookwon Park (OWNER) |
| Authorized Official Contact | 4692932530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Clinic 771 W Round Grove Rd Ste W100 Lewisville TX 75067 Ph: (469) 293-2530 | Park Dental Clinic 771 W Round Grove Rd Ste W100 Lewisville TX 75067 Ph: (469) 293-2530 |
| NPI Number | 1326419052 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326419052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28444 (Texas) | Primary |
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