West Shore Family Dental

NPI #1861840845 in Richardson, Texas

Provider Information

NPI Number: 1861840845
Entity Type: Organization
Organization Name: West Shore Family Dental
Primary Specialty: Dentist
Enumeration Date: May 31, 2016
Last Updated: May 31, 2016

Practice Location

Address: 1110 W SHORE DR
City: Richardson
State: Texas
ZIP Code: 75080-4054
Phone: (972) 235-3675

Authorized Official

Name: DR. MARCIE HANSEN-BUNCH, D.D.S.
Title: OWNER/DENTIST
Phone: (972) 235-3675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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