| Carrollton Late-night Dental Emergency | |
|
1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 | |
| (202) 445-8050 | |
| Not Available |
| Full Name | Carrollton Late-night Dental Emergency |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1628 W Hebron Pkwy Ste 108, Carrollton, Texas |
| Authorized Official Name and Position | Insoo Song (OWNER) |
| Authorized Official Contact | 2024458050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrollton Late-night Dental Emergency 1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 Ph: (202) 445-8050 | Carrollton Late-night Dental Emergency 1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 Ph: (202) 445-8050 |
| NPI Number | 1144937913 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144937913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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