| Purely Dental Group Pllc S-corp | |
|
7406 State Highway 66 Royse City TX 75189 | |
| (972) 460-4422 | |
| Not Available |
| Full Name | Purely Dental Group Pllc S-corp |
|---|---|
| Speciality | Dentist |
| Location | 7406 State Highway 66, Royse City, Texas |
| Authorized Official Name and Position | Andy Davong (PRESIDENT) |
| Authorized Official Contact | 9728045624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purely Dental Group Pllc S-corp 7406 State Highway 66 Royse City TX 75189 Ph: (972) 460-4422 | Purely Dental Group Pllc S-corp 7406 State Highway 66 Royse City TX 75189 Ph: (972) 460-4422 |
| NPI Number | 1073940011 |
|---|---|
| Provider Enumeration Date | 10/05/2013 |
| Last Update Date | 10/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073940011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25750 (Texas) | Primary |
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