is a Dentist in Garland, Texas. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1215194931. The last update date is .
's current location address is 4431 W Walnut St Ste A, Garland, Texas. You can contact this provider via phone number 9724851200 and fax number 9724851211. The mailing address for is 4431 W Walnut St Ste A, Garland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4431 W Walnut St Ste A, Garland, Texas |
| Phone Number | 9724851200 |
| Fax Number | 9724851211 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215194931 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4431 W Walnut St Ste A |
|---|---|
| City | Garland |
| State | Texas (TX) |
| Post Code | 750424108 |
| Phone Number | 9724851200 |
| Fax Number | 9724851211 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30644 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1890642 | LA | -- | |
| 3461204 | TX | -- |
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