Family Dental Clinic, PC

NPI #1992137707 in Dallas, Texas

Provider Information

NPI Number: 1992137707
Entity Type: Organization
Organization Name: Family Dental Clinic, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 2, 2013
Last Updated: Aug 2, 2013

Practice Location

Address: 3128 FOREST LN
Address 2: STE. 106
City: Dallas
State: Texas
ZIP Code: 75234-7726
Phone: (972) 241-4820

Authorized Official

Name: MRS. LILY B HAILEMESKEL
Title: OWNER/MANAGER
Phone: (469) 939-8219

Specialties & Taxonomy Codes

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

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