| Revive Dental Of Lewisville | |
|
2728 Mckinnon St Apt 1517 Dallas TX 75201-1602 | |
| (415) 971-7427 | |
| Not Available |
| Full Name | Revive Dental Of Lewisville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2728 Mckinnon St, Dallas, Texas |
| Authorized Official Name and Position | Yong Ho Cho (OWNER) |
| Authorized Official Contact | 4159717427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Dental Of Lewisville 2728 Mckinnon St Apt 1517 Dallas TX 75201-1602 Ph: (415) 971-7427 | Revive Dental Of Lewisville 2728 Mckinnon St Apt 1517 Dallas TX 75201-1602 Ph: (415) 971-7427 |
| NPI Number | 1851753347 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851753347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27280 (Texas) | Primary |
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