Mary Katherine Cleveland, DMD
Dentist, General Practice in Dallas, TX. Individual provider (NPI-1).
NPI number1467005686
StatusActive
Last updated in NPPESJul 17, 2019
Details
- NPI
- 1467005686
- Entity type
- Individual (NPI-1)
- Name
- Mary Katherine Cleveland
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2019
- Last updated
- Jul 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 35234 | TX | Yes |
Practice location
9202 Elam RdDallas, TX 75217-4151
Phone 888-682-7286
Mailing address
7230 Meadow Lake AveDallas, TX 75214-3526
Phone 256-483-6763
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