Shaneka Marks Moss DDS PC
Shaneka Marks Moss DDS PC is a Dentist in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2013.
- Licensed in
- TX
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5103 Magna Carta Blvd Ste 100Grand Prairie, TX 75052-5213
Phone: (972) 352-6677
Fax: (972) 352-6678
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 25693 (TX) |
|---|
Record details
| NPI number | 1487080404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shaneka Marks Moss — Owner · (972) 352-6677 |
| Other names | Lavender Dental |
| NPI enumerated | September 23, 2013 |
| Last updated in NPPES | September 23, 2013 |
| Mailing address | 5103 Magna Carta Blvd, Suite 100, Grand Prairie, TX 75052-5213 |
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