Angwin Family Dentistry P.A.
Dentist, General Practice in Keller, TX. Organization (NPI-2).
NPI number1144469479
StatusActive
Last updated in NPPESFeb 10, 2009
Details
- NPI
- 1144469479
- Entity type
- Organization (NPI-2)
- Legal business name
- Angwin Family Dentistry P.A.
- Organization subpart
- No
- Enumeration date
- Feb 10, 2009
- Last updated
- Feb 10, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 23826 | TX | Yes |
Other names
- Just For Grins (Doing Business As)
Practice location
681 S Main StSuite 300
Keller, TX 76248-7036
Phone 817-741-4455
Mailing address
681 S Main StSuite 300
Keller, TX 76248-7036
Phone 817-741-4455
Authorized official
Kristen Angwin
Owner
8177414455
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