| Colby Crossing Dental Care | |
|
3020 E Broad St Ste 108 Mansfield TX 76063-6696 | |
| (682) 341-0058 | |
| Not Available |
| Full Name | Colby Crossing Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3020 E Broad St Ste 108, Mansfield, Texas |
| Authorized Official Name and Position | Cemyira Mcdougal (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2177648609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colby Crossing Dental Care 3020 E Broad St Ste 108 Mansfield TX 76063-6696 | Colby Crossing Dental Care 3020 E Broad St Ste 108 Mansfield TX 76063-6696 Ph: (682) 341-0058 |
| NPI Number | 1215747738 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215747738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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