| Ark Dental, P.c. | |
|
9777 Ferguson Rd 101 Dallas TX 75228-3838 | |
| (214) 320-9444 | |
| (214) 320-9555 |
| Full Name | Ark Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9777 Ferguson Rd, Dallas, Texas |
| Authorized Official Name and Position | John Han Lee (PRESIDENT) |
| Authorized Official Contact | 2143209444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ark Dental, P.c. 9777 Ferguson Rd 101 Dallas TX 75228-3838 Ph: (214) 320-9444 | Ark Dental, P.c. 9777 Ferguson Rd 101 Dallas TX 75228-3838 Ph: (214) 320-9444 |
| NPI Number | 1497016463 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497016463 | NPI | - | NPPES |
| B18012-2 | Other | TX | CHIP |
| 145820001 | Medicaid | TX | |
| 145819201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18012 (Texas) | Primary |
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