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Organization
PARKWAY DENTAL PROFESSIONALS, P.C.
Active
Organization
PARKWAY DENTAL PROFESSIONALS, P.C.
Active
Other names
The Parkway Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MCAULEY (TRAINING DIRECTOR)
(817) 909-9219
Entity
Organization
Contact information
Practice address
4200 BRYANT IRVIN RD STE 101, BENBROOK, TX 76109-4212
(817) 735-1616
Mailing address
4200 BRYANT IRVIN RD STE 101, BENBROOK, TX 76109-4212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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