| Riverside Dental Clinic, P.c. | |
|
1311 E Belt Line Rd Suite #3 Carrollton TX 75006-6289 | |
| (972) 820-0370 | |
| Not Available |
| Full Name | Riverside Dental Clinic, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1311 E Belt Line Rd, Carrollton, Texas |
| Authorized Official Name and Position | Kyung S Lee (PRESIDENT) |
| Authorized Official Contact | 9728200370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Clinic, P.c. 1311 E Belt Line Rd Suite #3 Carrollton TX 75006-6289 Ph: (972) 820-0370 | Riverside Dental Clinic, P.c. 1311 E Belt Line Rd Suite #3 Carrollton TX 75006-6289 Ph: (972) 820-0370 |
| NPI Number | 1144367087 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144367087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20885 (Texas) | Primary |
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