214dentalcare PLLC
Dentist, General Practice in Grand Prairie, TX. Organization (NPI-2).
NPI number1841889888
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1841889888
- Entity type
- Organization (NPI-2)
- Legal business name
- 214dentalcare PLLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2021
- Certification date
- Jan 1, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
2580 W Camp Wisdom Rd Ste 300Grand Prairie, TX 75052-3091
Phone 972-408-0480
Mailing address
4116 Saguaro LnIrving, TX 75063-1242
Phone 267-495-7393
Authorized official
Nilam Patel
Dentist
2674957393
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