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Organization
MC DENTAL
Active
Organization
MC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAMS DDS (PRESIDENT)
(972) 515-8700
Entity
Organization
Contact information
Practice address
106 PLAZA DR, RED OAK, TX 75154-3981
(972) 515-8700
Mailing address
106 PLAZA DR, RED OAK, TX 75154-3981
(972) 515-8700
(972) 591-4589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL
TX
01
—
8495
TX LICENSE
TX
Enumeration date
05/17/2012
Last updated
05/28/2020
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