1st Impression Dental Group PLLC
Dentist, General Practice in Arlington, TX. Organization (NPI-2).
NPI number1558655910
StatusActive
Last updated in NPPESJun 2, 2011
Details
- NPI
- 1558655910
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Impression Dental Group PLLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2011
- Last updated
- Jun 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 25243 | TX | Yes |
Practice location
3901 W Green Oaks BlvdSuite D
Arlington, TX 76016-2795
Phone 817-704-3767
Mailing address
3901 W Green Oaks BlvdSuite D
Arlington, TX 76016-2795
Phone 817-704-3767
Authorized official
Victoria T Tran
Owner
6508175799
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