Valley Ranch Dental Associates Pllc | |
9901 Valley Ranch Pkwy E Ste 1020 Irving TX 75063-7179 | |
(972) 869-5966 | |
Not Available |
Full Name | Valley Ranch Dental Associates Pllc |
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Speciality | Dentist - General Practice |
Location | 9901 Valley Ranch Pkwy E Ste 1020, Irving, Texas |
Authorized Official Name and Position | Tee Semera (CREDENTIALING MANAGER) |
Authorized Official Contact | 4695569000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Valley Ranch Dental Associates Pllc 1261 W Green Oaks Blvd Ste 103 Arlington TX 76013-8349 Ph: (830) 426-2255 | Valley Ranch Dental Associates Pllc 9901 Valley Ranch Pkwy E Ste 1020 Irving TX 75063-7179 Ph: (972) 869-5966 |
NPI Number | 1700498128 |
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Provider Enumeration Date | 08/18/2020 |
Last Update Date | 08/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700498128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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