Westpark Da Pllc | |
4105 W Spring Creek Pkwy Ste 502 Plano TX 75024-5292 | |
(972) 964-7500 | |
Not Available |
Full Name | Westpark Da Pllc |
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Speciality | Dentist - General Practice |
Location | 4105 W Spring Creek Pkwy Ste 502, Plano, Texas |
Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
Authorized Official Contact | 2147020708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Westpark Da Pllc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: () - | Westpark Da Pllc 4105 W Spring Creek Pkwy Ste 502 Plano TX 75024-5292 Ph: (972) 964-7500 |
NPI Number | 1265123095 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 05/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265123095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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