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Organization
PRIME ORAL WELLNESS &DENTISTRY PLLC
Active
Organization
PRIME ORAL WELLNESS &DENTISTRY PLLC
Active
Other names
prime integrative dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MINAXI MIRKAL DDS (DENTIST/OWNER)
(972) 885-9191
Entity
Organization
Contact information
Practice address
3821 LONG PRAIRIE RD STE 200, FLOWER MOUND, TX 75028-1599
(972) 885-9191
Mailing address
3821 LONG PRAIRIE RD STE 200, FLOWER MOUND, TX 75028-1599
(972) 885-9191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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