Affordable Dentist Near Me PLLC
Clinic/Center, Dental in Grand Prairie, TX. Organization (NPI-2).
NPI number1194194845
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1194194845
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentist Near Me PLLC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2015
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
| 122300000X | Dentist | 24570 | TX |
Practice location
2501 W I 20 Ste 100Grand Prairie, TX 75052-3948
Phone 214-447-0696 · Fax 817-665-3822
Mailing address
6426 Meadowbrook DrFort Worth, TX 76112-5123
Phone 817-496-2343 · Fax 817-665-3822
Authorized official
Tri H Pham
Doctor
8174962343
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