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Daisy Dental P.c.
Dental Clinic/Center in Hickory Creek, Texas
NPI 1104117241

Daisy Dental P.c. is a Dental Clinic/Center based in Hickory Creek, TX and is specialized in Dental. Daisy Dental P.c. practices in Hickory Creek, TX. The NPI Number for Daisy Dental P.c. is 1104117241 and holds a License No. 22585 (Texas).

The current practice location address for Daisy Dental P.c. is 3970 Fm 2181, Hickory Creek, TX and can be reached out via phone at 972-999-3580.

Location: 3970 Fm 2181, Hickory Creek, TX, 75065-4249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104117241
Provider Name
Daisy Dental P.c.
Credential
Provider Entity Type
Organization
Address
3970 Fm 2181, Hickory Creek, TX, 75065-4249
Phone Number
972-999-3580
Fax Number
Provider Enumeration Date
04/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1900193-03 01 TX MEDICAID PROVIDER
2208027-01 05 TX
institution
Provider Business Practice Location Address Details
Address
3970 Fm 2181
City
Hickory Creek
State
Texas
Zip
75065-4249
Phone Number
972-999-3580
Fax Number
person
Provider Business Mailing Address Details
Address
3970 Fm 2181
City
Hickory Creek
State
Texas
Zip
75065-4249
Phone Number
972-999-3580
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
22585 (Texas)
Definition
Definition to come...
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