| West Dental Care | |
|
295 W. Byron Nelson Blvd Ste 304 Roanoke TX 76262 | |
| (817) 454-3463 | |
| (866) 892-0774 |
| Full Name | West Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 295 W. Byron Nelson Blvd, Roanoke, Texas |
| Authorized Official Name and Position | Randoph Robert West (OWNER) |
| Authorized Official Contact | 8174543463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Dental Care 295 W. Byron Nelson Blvd Ste 304 Roanoke TX 76262 Ph: (817) 454-3463 | West Dental Care 295 W. Byron Nelson Blvd Ste 304 Roanoke TX 76262 Ph: (817) 454-3463 |
| NPI Number | 1710347562 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710347562 | NPI | - | NPPES |
| 1447412812 | Other | TX | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23888 (Texas) | Primary |
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