| White Lotus Dental | |
|
3109 S Custer Rd Suite 300 Mckinney TX 75070-7170 | |
| (469) 262-2111 | |
| Not Available |
| Full Name | White Lotus Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3109 S Custer Rd, Mckinney, Texas |
| Authorized Official Name and Position | Karuna Peravali (MANAGER) |
| Authorized Official Contact | 4692622111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Lotus Dental 3109 S Custer Rd Suite 300 Mckinney TX 75070-7170 Ph: (469) 262-2111 | White Lotus Dental 3109 S Custer Rd Suite 300 Mckinney TX 75070-7170 Ph: (469) 262-2111 |
| NPI Number | 1932559366 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932559366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27262 (Texas) | Primary |
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