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966 N Garden Ridge Blvd Ste 510 Lewisville TX 75077-2876 | |
(469) 240-5590 | |
(469) 240-5591 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 966 N Garden Ridge Blvd Ste 510, Lewisville, Texas |
Authorized Official Name and Position | Dhruvkumar Jitendra Patel (PRESIDENT) |
Authorized Official Contact | 7144045978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3316 Canyon Lake Dr Little Elm TX 75068-2791 Ph: (714) 404-5978 | 966 N Garden Ridge Blvd Ste 510 Lewisville TX 75077-2876 Ph: (469) 240-5590 |
NPI Number | 1699400465 |
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Provider Enumeration Date | 07/18/2022 |
Last Update Date | 09/18/2022 |
Identifier | Type | State | Issuer |
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1699400465 | NPI | - | NPPES |
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