| Clinica Dental Of Texas Pllc | |
|
11411 E Northwest Hwy Ste 101 Dallas TX 75218-1445 | |
| (972) 891-8365 | |
| Not Available |
| Full Name | Clinica Dental Of Texas Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11411 E Northwest Hwy Ste 101, Dallas, Texas |
| Authorized Official Name and Position | Sehwoon Kim (MANAGING MEMBER) |
| Authorized Official Contact | 9728918365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Of Texas Pllc 11411 E Northwest Hwy Ste 101 Dallas TX 75218-1445 Ph: () - | Clinica Dental Of Texas Pllc 11411 E Northwest Hwy Ste 101 Dallas TX 75218-1445 Ph: (972) 891-8365 |
| NPI Number | 1154063121 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154063121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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