| Missoin East Dallas | |
|
4550 Gus Thomasson Rd Suite #26 Mesquite TX 75150-1700 | |
| (972) 682-8917 | |
| Not Available |
| Full Name | Missoin East Dallas |
|---|---|
| Speciality | Dentist |
| Location | 4550 Gus Thomasson Rd, Mesquite, Texas |
| Authorized Official Name and Position | Charles J Wiltraut (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6103497319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missoin East Dallas 2914 Oates Dr Dallas TX 75228-3914 Ph: (972) 682-8917 | Missoin East Dallas 4550 Gus Thomasson Rd Suite #26 Mesquite TX 75150-1700 Ph: (972) 682-8917 |
| NPI Number | 1043662885 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043662885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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