| The Parkway Dentist | |
|
4200 Bryant Irvin Rd Ste 101 Benbrook TX 76109-4212 | |
| (817) 735-1616 | |
| Not Available |
| Full Name | The Parkway Dentist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4200 Bryant Irvin Rd Ste 101, Benbrook, Texas |
| Authorized Official Name and Position | Desiree Mcauley (TRAINING DIRECTOR) |
| Authorized Official Contact | 8179099219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Parkway Dentist 4200 Bryant Irvin Rd Ste 101 Benbrook TX 76109-4212 | The Parkway Dentist 4200 Bryant Irvin Rd Ste 101 Benbrook TX 76109-4212 Ph: (817) 735-1616 |
| NPI Number | 1861976490 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 09/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861976490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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