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Organization
SNJ LLC
Active
Organization
SNJ LLC
Active
Other names
Walnut Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL M MASTERS DDS (OWNER PRESIDENT)
(682) 518-6300
Entity
Organization
Contact information
Practice address
554 N WALNUT CREEK DR, MANSFIELD, TX 76063
(682) 518-6300
(682) 518-6305
Mailing address
554 N WALNUT CREEK DR, MANSFIELD, TX 76063
(682) 518-6300
(682) 518-6305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16367
TX
Other
Enumeration date
08/27/2006
Last updated
08/22/2020
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