| Ko Dental Group, Pc | |
|
302 S. Avenue Q Clifton TX 76634 | |
| (254) 675-3518 | |
| (254) 675-1262 |
| Full Name | Ko Dental Group, Pc |
|---|---|
| Speciality | Dentist |
| Location | 302 S. Avenue Q, Clifton, Texas |
| Authorized Official Name and Position | Lynda Marliessa Clark (AM) |
| Authorized Official Contact | 2547840508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ko Dental Group, Pc 302 S. Avenue Q Clifton TX 76634 Ph: (254) 675-3518 | Ko Dental Group, Pc 302 S. Avenue Q Clifton TX 76634 Ph: (254) 675-3518 |
| NPI Number | 1053911396 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053911396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Steven L. Regan D.d.s., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S Avenue T, Clifton, TX 76634 Phone: 254-675-8301 Fax: 254-675-6505 |