| |
605 E Belt Line Rd # 101 Cedar Hill TX 75104-2256 | |
(972) 634-1434 | |
(214) 935-5669 |
Full Name | |
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Speciality | Clinic/Center |
Location | 605 E Belt Line Rd # 101, Cedar Hill, Texas |
Authorized Official Name and Position | Cristina Allala (DENTIST/SOLE OWNER) |
Authorized Official Contact | 9726341434 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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605 E Belt Line Rd # 101 Cedar Hill TX 75104-2256 Ph: (972) 634-1434 | 605 E Belt Line Rd # 101 Cedar Hill TX 75104-2256 Ph: (972) 634-1434 |
NPI Number | 1942936505 |
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Provider Enumeration Date | 07/26/2022 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 3678018587 |
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Medicare Enrollment ID | O20240716002245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942936505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Cristina Allala |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1972051654 PECOS PAC ID: 5294013678 Enrollment ID: I20240716002575 |
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