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Organization
FLOWER MOUND DENTISTRY DIVINE
Active
Organization
FLOWER MOUND DENTISTRY DIVINE
Active
Other names
FLower Mound Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAMESHA MICHALLE MCCLELLAN D.D.S. (PRESIDENT)
(972) 539-4290
Entity
Organization
Contact information
Practice address
2200 MORRISS RD STE 150, FLOWER MOUND, TX 75028-3239
(972) 539-4290
(972) 355-1736
Mailing address
2200 MORRISS RD STE 150, FLOWER MOUND, TX 75028-3239
(972) 539-4290
(972) 355-1736
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15884
TX
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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