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Organization
WALNUT GROVE DENTAL, PC
Active
Organization
WALNUT GROVE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN S MARTIN D.D.S (DIRECTOR)
(972) 298-4191
Entity
Organization
Contact information
Practice address
403 W WHEATLAND RD, DUNCANVILLE, TX 75116-4619
(972) 298-4191
Mailing address
403 W WHEATLAND RD, DUNCANVILLE, TX 75116-4619
(972) 298-4191
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21256
TX
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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