Valley Square Dental, Pllc
NPI #1013608694 in Lewisville, Texas
Provider Information
- NPI Number
- 1013608694
- Entity Type
- Organization
- Organization Name
- Valley Square Dental, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 16, 2023
- Last Updated
- May 16, 2023
Practice Location
- Address
- 724 W MAIN ST STE 316
- City
- Lewisville
- State
- Texas
- ZIP Code
- 75067-3566
- Phone
- (945) 250-0530
Authorized Official
- Name
- JASON BACON, DDS
- Title
- OWNER
- Phone
- (945) 250-0530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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