| Midway Family Dentistry | |
|
18181 Midway Rd Ste 500 Dallas TX 75287-8104 | |
| (214) 934-2198 | |
| Not Available |
| Full Name | Midway Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18181 Midway Rd Ste 500, Dallas, Texas |
| Authorized Official Name and Position | Stefanus H Siswanto (PRESIDENT) |
| Authorized Official Contact | 2149342198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midway Family Dentistry 18181 Midway Rd Ste 500 Dallas TX 75287-8104 Ph: () - | Midway Family Dentistry 18181 Midway Rd Ste 500 Dallas TX 75287-8104 Ph: (214) 934-2198 |
| NPI Number | 1033385497 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033385497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22440 (Texas) | Primary |
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