| My Mouth Dental | |
|
9101 Lakeview Pkwy 200 Rowlett TX 75088-4540 | |
| (901) 340-4458 | |
| Not Available |
| Full Name | My Mouth Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9101 Lakeview Pkwy, Rowlett, Texas |
| Authorized Official Name and Position | Jose Luis Montoya (PRESIDENT) |
| Authorized Official Contact | 9013404458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Mouth Dental 9101 Lakeview Pkwy 200 Rowlett TX 75088-4540 Ph: (901) 340-4458 | My Mouth Dental 9101 Lakeview Pkwy 200 Rowlett TX 75088-4540 Ph: (901) 340-4458 |
| NPI Number | 1316224769 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316224769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24453 (Texas) | Primary |
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