# PARKHAVEN DENTAL CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033755954
- **Authorized official:** LISA GOVINCHUCK (OPERATIONS MANAGER)
- **Authorized official phone:** (972) 416-2330

## Contact information

- **Practice address:** 5961 DALLAS PKWY STE 600, PLANO, TX 75093-8519
- **Practice address phone:** (972) 416-2330
- **Mailing address:** 5961 DALLAS PKWY STE 600, PLANO, TX 75093-8519
- **Mailing address phone:** (972) 416-2330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2019
- **Last updated:** 11/26/2019
