Mission East Dallas and Metroplex Project, Inc.

NPI #1043662885 in Mesquite, Texas

Provider Information

NPI Number: 1043662885
Entity Type: Organization
Organization Name: Mission East Dallas and Metroplex Project, Inc.
Primary Specialty: Dentist
Enumeration Date: Jul 5, 2016
Last Updated: Jul 5, 2016

Practice Location

Address: 4550 GUS THOMASSON RD
Address 2: SUITE #26
City: Mesquite
State: Texas
ZIP Code: 75150-1700
Phone: (972) 682-8917

Authorized Official

Name: MR. CHARLES J WILTRAUT
Title: CHIEF EXECUTIVE OFFICER
Phone: (610) 349-7319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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