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Organization

PARKWAY DENTAL PROFESSIONALS, P.C.

Active
Other names
The Parkway Dentist
Organization subpart
No

Provider details

NPI number
Authorized official
DESIREE MCAULEY (TRAINING DIRECTOR)
(817) 909-9219
Entity
Organization

Contact information

Practice address
4200 BRYANT IRVIN RD STE 101, BENBROOK, TX 76109-4212
(817) 735-1616
Mailing address
4200 BRYANT IRVIN RD STE 101, BENBROOK, TX 76109-4212

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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