Penn Dental Group Pllc | |
4920 Teasley Ln Denton TX 76210-3901 | |
(940) 566-1066 | |
(940) 566-1067 |
Full Name | Penn Dental Group Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 4920 Teasley Ln, Denton, Texas |
Authorized Official Name and Position | Sanghun S Lee (PRESIDENT) |
Authorized Official Contact | 2157962967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Penn Dental Group Pllc 403 Osprey Ct Southlake TX 76092-5851 Ph: (215) 796-2967 | Penn Dental Group Pllc 4920 Teasley Ln Denton TX 76210-3901 Ph: (940) 566-1066 |
NPI Number | 1326618968 |
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Provider Enumeration Date | 06/27/2021 |
Last Update Date | 06/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326618968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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