Dental Health Associates of Texas, Pc.

NPI #1780264564 in Mansfield, Texas

Provider Information

NPI Number: 1780264564
Entity Type: Organization
Organization Name: Dental Health Associates of Texas, Pc.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 14, 2021
Last Updated: Apr 14, 2021

Practice Location

Address: 1050 COUNTRY CLUB DR STE 112
City: Mansfield
State: Texas
ZIP Code: 76063-2637
Phone: (817) 405-2245

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

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

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