Organization
COMFORT DENTAL CENTRE GALLOWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THELRUTH SHAW (OFFICE MANAGER)
(214) 398-1234
Entity
Organization
Contact information
Practice address
2929 N GALLOWAY AVE STE 116, MESQUITE, TX 75150-4800
(972) 681-2500
(972) 681-2501
Mailing address
2929 N GALLOWAY AVE STE 116, MESQUITE, TX 75150-4800
(972) 681-2500
(972) 681-2501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090281902
—
TX
Enumeration date
05/21/2008
Last updated
05/21/2008
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