| Valley Square Dental, Pllc | |
|
724 W Main St Ste 316 Lewisville TX 75067-3566 | |
| (945) 250-0530 | |
| (945) 250-0535 |
| Full Name | Valley Square Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 724 W Main St Ste 316, Lewisville, Texas |
| Authorized Official Name and Position | Jason Bacon (OWNER) |
| Authorized Official Contact | 9452500530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Square Dental, Pllc 201 S Rogers Rd Irving TX 75060-2608 Ph: (951) 205-5140 | Valley Square Dental, Pllc 724 W Main St Ste 316 Lewisville TX 75067-3566 Ph: (945) 250-0530 |
| NPI Number | 1013608694 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013608694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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