Grand Prairie Modern Dentistry, PC
NPI #1952946279 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1952946279
- Entity Type
- Organization
- Organization Name
- Grand Prairie Modern Dentistry, PC
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 11, 2019
- Last Updated
- Apr 13, 2022
Practice Location
- Address
- 1215 ARKANSAS LN STE 100
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75052-7276
- Phone
- (469) 701-2344
Authorized Official
- Name
- JEFFREY L ROBERTS, DMD
- Title
- OWNER
- Phone
- (469) 701-2344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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