Shizuoka Pllc | |
1441 Midlothian Pkwy Midlothian TX 76065 | |
(972) 954-9339 | |
(972) 945-3040 |
Full Name | Shizuoka Pllc |
---|---|
Speciality | Dentist - Dentist Anesthesiologist |
Location | 1441 Midlothian Pkwy, Midlothian, Texas |
Authorized Official Name and Position | Hiroshi Saka (DIRECTOR) |
Authorized Official Contact | 9729549339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shizuoka Pllc 1441 Midlothian Pkwy, Ste 150 Midlothian TX 76065 Ph: (972) 954-9339 | Shizuoka Pllc 1441 Midlothian Pkwy Midlothian TX 76065 Ph: (972) 954-9339 |
NPI Number | 1871258061 |
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Provider Enumeration Date | 11/03/2021 |
Last Update Date | 11/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871258061 | NPI | - | NPPES |
212955335 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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