Clean Dental

LBN: Clean Dental Of Mesquite, P.C.
Clean Dental is an health care organization with primary practice located at 4402 Gus Thomasson Rd Suite A, Mesquite TX 75150-2232. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Clean Dental Of Mesquite, P.C. can be contacted via phone (214) 765-6212, or through Park, Sang Woo via phone (614) 530-1189.

Contact Information

Primary practice address
4402 Gus Thomasson Rd Suite A Mesquite TX 75150-2232
Phone: (214) 765-6212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Sang Woo Doctor of Dental Surgery (DDS)
Phone: (614) 530-1189

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23653 Texas

Profile Details

NPI number 1669777686
LBN Legal business name Clean Dental Of Mesquite, P.C.
DBA Doing business as Clean Dental
Authorized official Park, Sang Woo Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2011
Last updated Dec 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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