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Organization
MYRIAD DENTAL STUDIO PLLC
Active
Organization
MYRIAD DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LOPEZ DDS (DENTIST)
(940) 226-2000
Entity
Organization
Contact information
Practice address
3000 FM 407 E STE 300, BARTONVILLE, TX 76226-9366
(719) 466-3467
Mailing address
3000 FM 407 E STE 300, BARTONVILLE, TX 76226-9366
(719) 466-3467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/26/2024
Last updated
08/28/2025
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