Seagoville Mirror Lake Dentistry Pllc
NPI #1295384873 in Seagoville, Texas
Provider Information
- NPI Number
- 1295384873
- Entity Type
- Organization
- Organization Name
- Seagoville Mirror Lake Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 6, 2019
- Last Updated
- Sep 6, 2019
Practice Location
- Address
- 605 AVALON DR
- City
- Seagoville
- State
- Texas
- ZIP Code
- 75159-3034
- Phone
- (972) 287-5311
Authorized Official
- Name
- ANGEL PARKER
- Title
- LEADERSHIP
- Phone
- (972) 200-1190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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