Prime Oral Wellness &dentistry Pllc
NPI #1649744293 in Flower Mound, Texas
Provider Information
- NPI Number
- 1649744293
- Entity Type
- Organization
- Organization Name
- Prime Oral Wellness &dentistry Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 17, 2019
- Last Updated
- Jan 17, 2019
Practice Location
- Address
- 3821 LONG PRAIRIE RD STE 200
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028-1599
- Phone
- (972) 885-9191
Authorized Official
- Name
- MINAXI MIRKAL, DDS
- Title
- DENTIST/OWNER
- Phone
- (972) 885-9191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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