Miro Pavelka, DDS, MSD

NPI 1154447415 · on the registry since 2007

Practice

Address: 400 S Cottonwood Dr
Suite B
Richardson, TX 75080
Phone: (972) 231-6661
Fax: (972) 231-3161
Organisation at this address: J.C. Boley, D.D.S., M.S., Inc.
Richardson Oral & Maxillofacial Surgery Associates, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas