| Camp Wisdom Road Dentistry, Pa | |
|
319 W Camp Wisdom Rd Duncanville TX 75116-3332 | |
| (972) 642-2423 | |
| (972) 642-2571 |
| Full Name | Camp Wisdom Road Dentistry, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 319 W Camp Wisdom Rd, Duncanville, Texas |
| Authorized Official Name and Position | Kenneth To (CO-PRESIDENT) |
| Authorized Official Contact | 9726422423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Wisdom Road Dentistry, Pa Po Box 531649 Grand Prairie TX 75053-1649 Ph: (972) 642-2423 | Camp Wisdom Road Dentistry, Pa 319 W Camp Wisdom Rd Duncanville TX 75116-3332 Ph: (972) 642-2423 |
| NPI Number | 1942515275 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942515275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 24103 (Texas) | Primary |
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