| Duck Prairie Dental Care | |
|
22310 Fm 529 Rd Ste 300 Cypress TX 77433 | |
| (346) 615-0735 | |
| (346) 615-0738 |
| Full Name | Duck Prairie Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22310 Fm 529 Rd Ste 300, Cypress, Texas |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duck Prairie Dental Care 22310 Fm 529 Rd Ste 300 Cypress TX 77433-2101 | Duck Prairie Dental Care 22310 Fm 529 Rd Ste 300 Cypress TX 77433 Ph: (346) 615-0735 |
| NPI Number | 1073365730 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073365730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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