| Professional Dental Alliance Of Texas, Pllc | |
|
7748 Denton Hwy Watauga TX 76148-2463 | |
| (817) 581-2100 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Texas, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7748 Denton Hwy, Watauga, Texas |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7575765479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Texas, Pllc 11 S Mill St New Castle PA 16101-3680 Ph: () - | Professional Dental Alliance Of Texas, Pllc 7748 Denton Hwy Watauga TX 76148-2463 Ph: (817) 581-2100 |
| NPI Number | 1992306328 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992306328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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