| Mangoleaf Dental Pllc | |
|
3501 Fm 407 E Ste 200 Lantana TX 76226-9769 | |
| (940) 489-1660 | |
| (972) 408-0736 |
| Full Name | Mangoleaf Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3501 Fm 407 E Ste 200, Lantana, Texas |
| Authorized Official Name and Position | Jeremy Freeman (OFFICE MANAGER) |
| Authorized Official Contact | 9402282250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangoleaf Dental Pllc 3501 Fm 407 E Ste 200 Lantana TX 76226-9769 Ph: (940) 489-1660 | Mangoleaf Dental Pllc 3501 Fm 407 E Ste 200 Lantana TX 76226-9769 Ph: (940) 489-1660 |
| NPI Number | 1265198618 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265198618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |