| Pure Dental, P.a. | |
|
5321 E Mockingbird Ln Suite 210 Dallas TX 75206-5185 | |
| (214) 824-7873 | |
| Not Available |
| Full Name | Pure Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5321 E Mockingbird Ln, Dallas, Texas |
| Authorized Official Name and Position | Brody Jamison Hildebrand (OWNER) |
| Authorized Official Contact | 2148247873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Dental, P.a. 8411 Preston Rd Suite 850 Dallas TX 75225-5523 Ph: (214) 824-7873 | Pure Dental, P.a. 5321 E Mockingbird Ln Suite 210 Dallas TX 75206-5185 Ph: (214) 824-7873 |
| NPI Number | 1588801633 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 01/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588801633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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