| W. Main Street Dental Lewisville, Tx, P.c. | |
|
724 W Main St Ste 316 Lewisville TX 75067 | |
| (469) 312-6201 | |
| (469) 312-6202 |
| Full Name | W. Main Street Dental Lewisville, Tx, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 724 W Main St Ste 316, Lewisville, Texas |
| Authorized Official Name and Position | Dale Mayfield (PRESIDENT) |
| Authorized Official Contact | 7709165036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. Main Street Dental Lewisville, Tx, P.c. 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 Ph: (770) 916-5036 | W. Main Street Dental Lewisville, Tx, P.c. 724 W Main St Ste 316 Lewisville TX 75067 Ph: (469) 312-6201 |
| NPI Number | 1023508819 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023508819 | NPI | - | NPPES |
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