Organization · Type 2 NPI

Forney Mirror Lake Dentistry PLLC

Dental Clinic/Center · Forney, TX

NPI number 1730676735 Active

Practice location

845 N. FM 548, Suite 150
Forney, TX 75126

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X29699 (TX)

Dental Clinic/Center: Definition to come...

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About NPI 1730676735

Forney Mirror Lake Dentistry PLLC's National Provider Identifier is 1730676735, issued on Apr 16, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Forney, TX. The record was last updated on Apr 16, 2018.