| Gps Michael Mabry Dentistry PLLC | |
|
271 E Southlake Blvd Ste 100 Southlake TX 76092-6272 | |
| (817) 329-6677 | |
| Not Available |
| Full Name | Gps Michael Mabry Dentistry PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 271 E Southlake Blvd Ste 100, Southlake, Texas |
| Authorized Official Name and Position | William R Little (CO-OWNER) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gps Michael Mabry Dentistry PLLC 100 E Huntington Ave Ste E Jonesboro AR 72401-2900 Ph: (870) 333-5088 | Gps Michael Mabry Dentistry PLLC 271 E Southlake Blvd Ste 100 Southlake TX 76092-6272 Ph: (817) 329-6677 |
| NPI Number | 1851053821 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851053821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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