| Heath Mirror Lake Dentistry Pllc | |
|
4225 Ridge Rd Heath TX 75032-5833 | |
| (972) 287-5513 | |
| Not Available |
| Full Name | Heath Mirror Lake Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4225 Ridge Rd, Heath, Texas |
| Authorized Official Name and Position | Justin Humphries (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9722875513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heath Mirror Lake Dentistry Pllc 605 Avalon Dr Seagoville TX 75159-3034 Ph: (972) 287-5513 | Heath Mirror Lake Dentistry Pllc 4225 Ridge Rd Heath TX 75032-5833 Ph: (972) 287-5513 |
| NPI Number | 1427545516 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 04/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427545516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 29699 (Texas) | Primary |
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