Pine Cove Dental | |
1560 E Debbie Ln Ste 108 Mansfield TX 76063-8575 | |
(817) 453-8520 | |
Not Available |
Full Name | Pine Cove Dental |
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Speciality | Dentist - General Practice |
Location | 1560 E Debbie Ln Ste 108, Mansfield, Texas |
Authorized Official Name and Position | Levy T Do (PRESIDENT) |
Authorized Official Contact | 4056333396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pine Cove Dental 1560 E Debbie Ln Ste 108 Mansfield TX 76063-8575 Ph: (817) 453-8520 | Pine Cove Dental 1560 E Debbie Ln Ste 108 Mansfield TX 76063-8575 Ph: (817) 453-8520 |
NPI Number | 1932566213 |
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Provider Enumeration Date | 01/18/2016 |
Last Update Date | 01/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932566213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 28984 (Texas) | Primary |
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