| Deer Park Dental | |
|
2705 Center St Deer Park TX 77536-4955 | |
| (281) 479-8668 | |
| (281) 930-0400 |
| Full Name | Deer Park Dental |
|---|---|
| Speciality | Dentist |
| Location | 2705 Center St, Deer Park, Texas |
| Authorized Official Name and Position | Gregg E Mosley (OWNER) |
| Authorized Official Contact | 2814798668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Park Dental 2705 Center St Deer Park TX 77536-4955 Ph: (281) 479-8668 | Deer Park Dental 2705 Center St Deer Park TX 77536-4955 Ph: (281) 479-8668 |
| NPI Number | 1902285992 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902285992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0014960 (Texas) | Primary |
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