Organization
COSMIC DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGE MECHREK (AUTHORIZED OFFICIAL)
(904) 729-2866
Entity
Organization
Contact information
Practice address
1502 S WESTMORELAND RD, DALLAS, TX 75211-5765
(904) 729-2866
Mailing address
1502 S WESTMORELAND RD, DALLAS, TX 75211-5765
(904) 729-2866
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
10/23/2023
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