Organization
CUSTOM DENTAL OF MCKINNEY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE MICHAEL GATES DDS (DOCTOR)
(214) 310-2822
Entity
Organization
Contact information
Practice address
6351 S CUSTER RD, MCKINNEY, TX 75070
(214) 310-2822
Mailing address
6351 S CUSTER RD, MCKINNEY, TX 75070
(214) 310-2822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30322
TX
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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