Organization
MARSH LANE DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESMERALDA MORALES (OFFICE MANAGER)
(817) 577-9200
Entity
Organization
Contact information
Practice address
10020 MARSH LN, DALLAS, TX 75229-6081
(817) 577-9200
(817) 281-9231
Mailing address
1801 PRECINCT LINE RD, SUITE A, HURST, TX 76054-3170
(817) 577-9200
(817) 281-9231
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20467
TX
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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