Mission East Dallas And Metroplex Project, INC.
Dentist in Mesquite, TX. Organization (NPI-2).
NPI number1043662885
StatusActive
Last updated in NPPESJul 5, 2016
Details
- NPI
- 1043662885
- Entity type
- Organization (NPI-2)
- Legal business name
- Mission East Dallas And Metroplex Project, INC.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2016
- Last updated
- Jul 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Missoin East Dallas (Doing Business As)
Practice location
4550 Gus Thomasson RdSuite #26
Mesquite, TX 75150-1700
Phone 972-682-8917
Mailing address
2914 Oates DrDallas, TX 75228-3914
Phone 972-682-8917
Authorized official
Charles J Wiltraut
Chief Executive Officer
6103497319
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