| Clean Dental Pc | |
|
4907 Spring Ave Dallas TX 75210-1360 | |
| (469) 828-1166 | |
| Not Available |
| Full Name | Clean Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4907 Spring Ave, Dallas, Texas |
| Authorized Official Name and Position | April L Samuels (OWNER DENTIST) |
| Authorized Official Contact | 2142740483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean Dental Pc 221 Hartley Ln Red Oak TX 75154-8878 Ph: (214) 274-0483 | Clean Dental Pc 4907 Spring Ave Dallas TX 75210-1360 Ph: (469) 828-1166 |
| NPI Number | 1013422575 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013422575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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