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Individual

MS. CINDY MCCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAM

Contact information

Practice address
8610 GREENVILLE AVE STE 150, DALLAS, TX 75243-7159
(214) 343-9280
Mailing address
8610 GREENVILLE AVE STE 150, DALLAS, TX 75243-7159
(214) 343-9280

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11226
LICENSE
TX
Enumeration date
10/22/2020
Last updated
11/10/2020
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