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Organization

IDEAL DENTAL OF FLOWER MOUND, PC

Active
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Organization

IDEAL DENTAL OF FLOWER MOUND, PC

Active
Other names
Cornerstone Dental - Flower Mound
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL LYN CANTU (INSURANCE SPECIALIST)
(972) 361-0600
Entity
Organization

Contact information

Practice address
2616 LONG PRAIRIE RD, SUITE 105, FLOWER MOUND, TX 75022-4839
(972) 899-3499
(972) 899-3498
Mailing address
2616 LONG PRAIRIE RD, SUITE 105, FLOWER MOUND, TX 75022-4839
(972) 899-3499
(972) 899-3498

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22290
TX

Other

Enumeration date
04/26/2011
Last updated
10/12/2012
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