Dentist In Mesquite LLC
Dentist, General Practice in Mesquite, TX. Organization (NPI-2).
NPI number1619787645
StatusActive
Last updated in NPPESJan 11, 2025
Details
- NPI
- 1619787645
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentist In Mesquite LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2025
- Certification date
- Jan 11, 2025
- Last updated
- Jan 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Creek Crossing Dental Care (Doing Business As)
Practice location
1927 Faithon P Lucas Sr Blvd Ste 120Mesquite, TX 75181-1698
Phone 469-333-6158 · Fax 469-333-6159
Mailing address
1927 Faithon P Lucas Sr Blvd Ste 120Mesquite, TX 75181-1698
Phone 469-333-6158 · Fax 469-333-6159
Authorized official
Sunil R Eamani
Manager
4693336158
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