Affinity Dental, PLLC
Dentist, General Practice in Irving, TX. Organization (NPI-2).
NPI number1124271739
StatusActive
Last updated in NPPESJan 7, 2009
Details
- NPI
- 1124271739
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2008
- Last updated
- Jan 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1735 N Story Rd Ste 180Irving, TX 75061-1951
Phone 972-513-9000 · Fax 972-513-9191
Mailing address
1735 N Story Rd Ste 180Irving, TX 75061-1951
Phone 972-513-9000 · Fax 972-513-9191
Authorized official
Chuong DO
Member/Manager
8179660648
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