| Active Dental Flower Mound | |
|
1450 Long Prairie Rd Ste 160 Flower Mound TX 75028-7502 | |
| (972) 556-0600 | |
| Not Available |
| Full Name | Active Dental Flower Mound |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1450 Long Prairie Rd, Flower Mound, Texas |
| Authorized Official Name and Position | Kishan Patel (OWNER) |
| Authorized Official Contact | 8174569342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Dental Flower Mound 1450 Long Prairie Rd Ste 160 Flower Mound TX 75028 | Active Dental Flower Mound 1450 Long Prairie Rd Ste 160 Flower Mound TX 75028-7502 Ph: (972) 556-0600 |
| NPI Number | 1235846783 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235846783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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