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755 E State Highway 121 Suite A200 Lewisville TX 75057-4107 | |
| (817) 501-6507 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 755 E State Highway 121, Lewisville, Texas |
| Authorized Official Name and Position | Harry N Ashitey (OWNER) |
| Authorized Official Contact | 8175016507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
755 E State Highway 121 Suite A200 Lewisville TX 75057-4107 Ph: (817) 501-6507 | 755 E State Highway 121 Suite A200 Lewisville TX 75057-4107 Ph: (817) 501-6507 |
| NPI Number | 1972930220 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972930220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28259 (Texas) | Primary |
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