Organization
COMFORT DENTAL CENTRE MESQUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THELRUTH SHAW (OFC MANAGER)
(972) 686-9000
Entity
Organization
Contact information
Practice address
3605 I-30 STE C, MESQUITE, TX 75150-2682
(972) 686-9000
Mailing address
3605 I-30 STE C, MESQUITE, TX 75150-2682
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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