| |
8404 Preston Rd Ste 212 Plano TX 75024-3331 | |
(972) 377-5530 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 8404 Preston Rd, Plano, Texas |
Authorized Official Name and Position | Sulman Ahmed (OWNER) |
Authorized Official Contact | 9723775530 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8404 Preston Rd Ste 212 Plano TX 75024-3331 Ph: (972) 377-5530 | 8404 Preston Rd Ste 212 Plano TX 75024-3331 Ph: (972) 377-5530 |
NPI Number | 1275936734 |
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Provider Enumeration Date | 09/29/2014 |
Last Update Date | 09/24/2015 |
Identifier | Type | State | Issuer |
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1275936734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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