Abc Family Dental | |
5416 Basswood Blvd Fort Worth TX 76137-4400 | |
(817) 656-1215 | |
(877) 230-8349 |
Full Name | Abc Family Dental |
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Speciality | Dentist |
Location | 5416 Basswood Blvd, Fort Worth, Texas |
Authorized Official Name and Position | Peter T Vo (OWNER) |
Authorized Official Contact | 8176561215 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abc Family Dental 5416 Basswood Blvd Fort Worth TX 76137-4400 Ph: (817) 656-1215 | Abc Family Dental 5416 Basswood Blvd Fort Worth TX 76137-4400 Ph: (817) 656-1215 |
NPI Number | 1003234238 |
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Provider Enumeration Date | 04/04/2014 |
Last Update Date | 04/04/2014 |
Medicare PECOS PAC ID | 4981946845 |
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Medicare Enrollment ID | O20190425002139 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003234238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 24637 (Texas) | Primary |
Provider Name | Peter Truong Vo |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1558597641 PECOS PAC ID: 2567726227 Enrollment ID: I20190425002123 |
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