| 1010 Emergency Dental Pllc | |
|
507 Jefferson Ln Lake Dallas TX 75065-3489 | |
| (703) 477-4659 | |
| Not Available |
| Full Name | 1010 Emergency Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 507 Jefferson Ln, Lake Dallas, Texas |
| Authorized Official Name and Position | Jake Kim (OWNER) |
| Authorized Official Contact | 7034774659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1010 Emergency Dental Pllc 507 Jefferson Ln Lake Dallas TX 75065-3489 Ph: () - | 1010 Emergency Dental Pllc 507 Jefferson Ln Lake Dallas TX 75065-3489 Ph: (703) 477-4659 |
| NPI Number | 1730915802 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 11/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730915802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |