| Mineola Dental Pllc | |
|
344 Nw Loop 564 Ste 400 Mineola TX 75773-1128 | |
| (903) 948-1563 | |
| Not Available |
| Full Name | Mineola Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 344 Nw Loop 564 Ste 400, Mineola, Texas |
| Authorized Official Name and Position | Rohit Narayan (OWNER/DENTIST) |
| Authorized Official Contact | 4239469375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineola Dental Pllc 5113 Cedar Brush Dr Fort Worth TX 76123-2962 Ph: (423) 946-9375 | Mineola Dental Pllc 344 Nw Loop 564 Ste 400 Mineola TX 75773-1128 Ph: (903) 948-1563 |
| NPI Number | 1750873782 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 06/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750873782 | NPI | - | NPPES |
| 26309 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26309 (Texas) | Primary |
Lake View Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 S Pacific St, Mineola, TX 75773 Phone: 903-569-5569 Fax: 903-569-1601 |