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297 W Round Grove Rd Suite 127 Lewisville TX 75067-8104 | |
| (214) 488-5505 | |
| (214) 488-0500 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 297 W Round Grove Rd, Lewisville, Texas |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
297 W Round Grove Rd Suite 127 Lewisville TX 75067-8104 Ph: (214) 488-5505 | 297 W Round Grove Rd Suite 127 Lewisville TX 75067-8104 Ph: (214) 488-5505 |
| NPI Number | 1144435975 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144435975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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