| Seagoville Mirror Lake Dentistry Pllc | |
|
605 Avalon Dr Seagoville TX 75159-3034 | |
| (972) 287-5311 | |
| Not Available |
| Full Name | Seagoville Mirror Lake Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 605 Avalon Dr, Seagoville, Texas |
| Authorized Official Name and Position | Angel Parker (LEADERSHIP) |
| Authorized Official Contact | 9722001190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seagoville Mirror Lake Dentistry Pllc 605 Avalon Dr Seagoville TX 75159-3034 Ph: (972) 287-5311 | Seagoville Mirror Lake Dentistry Pllc 605 Avalon Dr Seagoville TX 75159-3034 Ph: (972) 287-5311 |
| NPI Number | 1295384873 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295384873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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