| Royal Lane Dental Center | |
|
8499 Greenville Ave Ste 210 Dallas TX 75231-2412 | |
| (614) 530-1189 | |
| Not Available |
| Full Name | Royal Lane Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8499 Greenville Ave Ste 210, Dallas, Texas |
| Authorized Official Name and Position | Sang Park (MANAGING MEMBER) |
| Authorized Official Contact | 4699042080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Lane Dental Center 8499 Greenville Ave 210 Dallas TX 75231-2413 Ph: (469) 904-2080 | Royal Lane Dental Center 8499 Greenville Ave Ste 210 Dallas TX 75231-2412 Ph: (614) 530-1189 |
| NPI Number | 1326577990 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326577990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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