Great Expressions Dental Centers of Texas, Pllc

NPI #1205387909 in Mansfield, Texas

Provider Information

NPI Number: 1205387909
Entity Type: Organization
Organization Name: Great Expressions Dental Centers of Texas, Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 18, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 1551 HIGHWAY 287 N
Address 2: STE. 411
City: Mansfield
State: Texas
ZIP Code: 76063-8890
Phone: (248) 203-1100

Authorized Official

Name: MR. RICHARD BECKMAN
Title: CEO
Phone: (248) 403-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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