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Organization
TODAY DENTAL OF NORTHLAKE
Active
Organization
TODAY DENTAL OF NORTHLAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY MAHONEY DMD (OWNER)
(435) 229-7662
Entity
Organization
Contact information
Practice address
1248 FM 407, SUITE 300, NORTHLAKE, TX 76226
(817) 435-1585
Mailing address
520 E VINE ST UNIT 484, KELLER, TX 76244-3821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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