| Pgp Pllc | |
|
2580 W Camp Wisdom Rd Ste 300 Grand Prairie TX 75052-3091 | |
| (972) 408-0480 | |
| (972) 525-0971 |
| Full Name | Pgp Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2580 W Camp Wisdom Rd Ste 300, Grand Prairie, Texas |
| Authorized Official Name and Position | David Marcus Chei (PRESIDENT) |
| Authorized Official Contact | 2143269077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pgp Pllc 2580 W Camp Wisdom Rd Ste 300 Grand Prairie TX 75052-3091 Ph: (972) 408-0480 | Pgp Pllc 2580 W Camp Wisdom Rd Ste 300 Grand Prairie TX 75052-3091 Ph: (972) 408-0480 |
| NPI Number | 1063019081 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063019081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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