My Mouth Dental

NPI #1316224769 in Rowlett, Texas

Provider Information

NPI Number: 1316224769
Entity Type: Organization
Organization Name: My Mouth Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 14, 2011
Last Updated: Nov 14, 2011

Practice Location

Address: 9101 LAKEVIEW PKWY
Address 2: 200
City: Rowlett
State: Texas
ZIP Code: 75088-4540
Phone: (901) 340-4458

Authorized Official

Name: DR. JOSE LUIS MONTOYA, DDS
Title: PRESIDENT
Phone: (901) 340-4458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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