Organization
PARKHAVEN DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GOVINCHUCK (OPERATIONS MANAGER)
(972) 416-2330
Entity
Organization
Contact information
Practice address
5961 DALLAS PKWY STE 600, PLANO, TX 75093-8519
(972) 416-2330
Mailing address
5961 DALLAS PKWY STE 600, PLANO, TX 75093-8519
(972) 416-2330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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