Clean Dental of Mesquite, P.c.

NPI #1669777686 in Mesquite, Texas

Provider Information

NPI Number
1669777686
Entity Type
Organization
Organization Name
Clean Dental of Mesquite, P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 23, 2011
Last Updated
Dec 27, 2014

Practice Location

Address
4402 GUS THOMASSON RD
Address 2
SUITE A
State
Texas
ZIP Code
75150-2232
Phone
(214) 765-6212

Authorized Official

Name
MR. SANG WOO PARK, DDS
Title
CEO
Phone
(614) 530-1189

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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