Flower Mound Dentistry Divine
NPI #1235340365 in Flower Mound, Texas
Provider Information
- NPI Number
- 1235340365
- Entity Type
- Organization
- Organization Name
- Flower Mound Dentistry Divine
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2200 MORRISS RD STE 150
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028-3239
- Phone
- (972) 539-4290
Authorized Official
- Name
- DR. KIAMESHA MICHALLE MCCLELLAN, D.D.S.
- Title
- PRESIDENT
- Phone
- (972) 539-4290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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