| Walnut Grove Dental, Pc | |
|
403 W Wheatland Rd Duncanville TX 75116-4619 | |
| (972) 298-4191 | |
| Not Available |
| Full Name | Walnut Grove Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 403 W Wheatland Rd, Duncanville, Texas |
| Authorized Official Name and Position | Alan S Martin (DIRECTOR) |
| Authorized Official Contact | 9722984191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Grove Dental, Pc 403 W Wheatland Rd Duncanville TX 75116-4619 Ph: (972) 298-4191 | Walnut Grove Dental, Pc 403 W Wheatland Rd Duncanville TX 75116-4619 Ph: (972) 298-4191 |
| NPI Number | 1487826194 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487826194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21256 (Texas) | Primary |
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