Organization
ROSE PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOANG LE (DENTIST/OWNER)
(817) 473-1159
Entity
Organization
Contact information
Practice address
217 N WALNUT CREEK DR, SUITE A, MANSFIELD, TX 76063-1791
(817) 473-1159
(817) 473-0607
Mailing address
217 N WALNUT CREEK DR, SUITE A, MANSFIELD, TX 76063-1791
(817) 473-1159
(817) 473-0607
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21034
TX
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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