| Ancestry Dental | |
|
5550 South Buckner Blvd. Ste 270 Mesquite TX 75149 | |
| (972) 635-8555 | |
| (972) 635-8544 |
| Full Name | Ancestry Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5550 South Buckner Blvd., Mesquite, Texas |
| Authorized Official Name and Position | Dylan N DO (OWNER) |
| Authorized Official Contact | 7143338331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ancestry Dental 5550 South Buckner Blvd. Ste 270 Mesquite TX 75149 Ph: (972) 635-8555 | Ancestry Dental 5550 South Buckner Blvd. Ste 270 Mesquite TX 75149 Ph: (972) 635-8555 |
| NPI Number | 1356844484 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356844484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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