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Organization
SEAGOVILLE MIRROR LAKE DENTISTRY PLLC
Active
Organization
SEAGOVILLE MIRROR LAKE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL PARKER (LEADERSHIP)
(972) 200-1190
Entity
Organization
Contact information
Practice address
605 AVALON DR, SEAGOVILLE, TX 75159-3034
(972) 287-5311
Mailing address
605 AVALON DR, SEAGOVILLE, TX 75159-3034
(972) 287-5311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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