Allheart Dental Grand Prairie,pllc
Dentist in Grand Prairie, TX. Organization (NPI-2).
NPI number1104379106
StatusActive
Last updated in NPPESJul 28, 2016
Details
- NPI
- 1104379106
- Entity type
- Organization (NPI-2)
- Legal business name
- Allheart Dental Grand Prairie,pllc
- Organization subpart
- No
- Enumeration date
- Jul 26, 2016
- Last updated
- Jul 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 28128 | TX | Yes |
Practice location
2502 S Belt Line RdSuite 200
Grand Prairie, TX 75052-5345
Phone 646-577-1535
Mailing address
4125 Emerson AveDallas, TX 75205-1144
Phone 646-577-1535
Authorized official
Lydia Zhou
Office Manager
6465771535
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