| Spa Dental | |
|
5435 North Garland Ave 125 Garland TX 75034 | |
| (972) 530-7374 | |
| (972) 530-7636 |
| Full Name | Spa Dental |
|---|---|
| Speciality | Dentist |
| Location | 5435 North Garland Ave 125, Garland, Texas |
| Authorized Official Name and Position | Susan M Koo (DENTIST) |
| Authorized Official Contact | 9725307374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa Dental 5435 North Garland Ave 125 Garland TX 75034 Ph: (972) 530-7374 | Spa Dental 5435 North Garland Ave 125 Garland TX 75034 Ph: (972) 530-7374 |
| NPI Number | 1174698260 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174698260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16975 (Texas) | Primary |
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