| Willow Tree Dental, Pllc | |
|
1205 E Debbie Ln Suite 111 Mansfield TX 76063-3356 | |
| (214) 636-8434 | |
| Not Available |
| Full Name | Willow Tree Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1205 E Debbie Ln, Mansfield, Texas |
| Authorized Official Name and Position | Rupal D Bhakta (DENTIST) |
| Authorized Official Contact | 2146368434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Dental, Pllc 1205 E Debbie Ln Suite 111 Mansfield TX 76063-3356 Ph: () - | Willow Tree Dental, Pllc 1205 E Debbie Ln Suite 111 Mansfield TX 76063-3356 Ph: (214) 636-8434 |
| NPI Number | 1124324991 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124324991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22233 (Texas) | Primary |
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