Custom Dental of Mckinney, Pllc

NPI #1487055273 in Mckinney, Texas

Provider Information

NPI Number: 1487055273
Entity Type: Organization
Organization Name: Custom Dental of Mckinney, Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 11, 2014
Last Updated: Sep 11, 2014

Practice Location

Address: 6351 S CUSTER RD
City: Mckinney
State: Texas
ZIP Code: 75070
Phone: (214) 310-2822

Authorized Official

Name: BRYCE MICHAEL GATES, DDS
Title: DOCTOR
Phone: (214) 310-2822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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