Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC.
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Mansfield Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
1050 COUNTRY CLUB DR STE 112, MANSFIELD, TX 76063-2637
(817) 405-2245
Mailing address
1050 COUNTRY CLUB DR STE 112, MANSFIELD, TX 76063-2637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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