# MYRIAD DENTAL STUDIO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730924259
- **Authorized official:** DIANA LOPEZ DDS (DENTIST)
- **Authorized official phone:** (940) 226-2000

## Contact information

- **Practice address:** 3000 FM 407 E STE 300, BARTONVILLE, TX 76226-9366
- **Practice address phone:** (719) 466-3467
- **Mailing address:** 3000 FM 407 E STE 300, BARTONVILLE, TX 76226-9366
- **Mailing address phone:** (719) 466-3467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2024
- **Last updated:** 08/28/2025