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Organization

MESQUITE DENTAL PLLC

Active
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Organization

MESQUITE DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IHNBAE CHO (DDS)
(520) 906-5765
Entity
Organization

Contact information

Practice address
3220 GUS THOMASSON RD STE 347, MESQUITE, TX 75150-4051
(972) 698-6685
Mailing address
3220 GUS THOMASSON RD STE 347, MESQUITE, TX 75150-4051

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
12/05/2022
Last updated
02/09/2023
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