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3010 State Highway 121 300 Euless TX 76039-5823 | |
| (817) 571-3368 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3010 State Highway 121, Euless, Texas |
| Authorized Official Name and Position | Carol L Cantu (INSURANCE SPECIALIST) |
| Authorized Official Contact | 8175713368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3010 State Highway 121 300 Euless TX 76039-5823 Ph: (817) 571-3368 | 3010 State Highway 121 300 Euless TX 76039-5823 Ph: (817) 571-3368 |
| NPI Number | 1376837252 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376837252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22290 (Texas) | Primary |
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