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301 S Bowen Rd Arlington TX 76013-1255 | |
(817) 339-6140 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 301 S Bowen Rd, Arlington, Texas |
Authorized Official Name and Position | Michael Stevens (OWNER) |
Authorized Official Contact | 2816302193 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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301 S Bowen Rd Arlington TX 76013-1255 Ph: () - | 301 S Bowen Rd Arlington TX 76013-1255 Ph: (817) 339-6140 |
NPI Number | 1447638077 |
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Provider Enumeration Date | 05/14/2015 |
Last Update Date | 05/14/2015 |
Identifier | Type | State | Issuer |
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1447638077 | NPI | - | NPPES |
1043393572 | Other | NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM | |
1700978079 | Other | TX | NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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