Individual
DR. MICHAEL ROBERT PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1612 LANCASTER DR, GRAPEVINE, TX 76051-3544
(817) 993-6512
(817) 488-4483
Mailing address
1612 LANCASTER DR, GRAPEVINE, TX 76051-3544
(817) 993-6512
(817) 488-4483
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
36004
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
02/01/2021
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