| Willow Park Family Dentistry | |
|
5189 E Interstate 20 Service Rd S 102 Willow Park TX 76087 | |
| (817) 441-2684 | |
| Not Available |
| Full Name | Willow Park Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5189 E Interstate 20 Service Rd S, Willow Park, Texas |
| Authorized Official Name and Position | Eseoghene Erhuvwuyoma Okugbaye (DIRECTOR) |
| Authorized Official Contact | 6786981440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Park Family Dentistry 1209 Genesis Dr Mansfield TX 76063-8651 Ph: (678) 698-1440 | Willow Park Family Dentistry 5189 E Interstate 20 Service Rd S 102 Willow Park TX 76087 Ph: (817) 441-2684 |
| NPI Number | 1255851770 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 06/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255851770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 26223 (Texas) | Primary |
Crown Pointe Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Shops Blvd, Willow Park, TX 76087 Phone: 817-441-7654 | |
Robert Casey Stroud, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 El Chico Trl, Suite 101, Willow Park, TX 76087 Phone: 817-441-2425 | |
Kovach Oral Surgery, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4969 E Interstate 20 Service Rd N, Willow Park, TX 76087 Phone: 817-441-5000 Fax: 817-441-5003 |