| Abc123 Dental | |
|
200 E Main St Ste C Crowley TX 76036-2600 | |
| (817) 297-4068 | |
| (877) 230-8349 |
| Full Name | Abc123 Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E Main St Ste C, Crowley, Texas |
| Authorized Official Name and Position | Peter Vo (OWNER) |
| Authorized Official Contact | 8172974068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc123 Dental 200 E Main St Ste C Crowley TX 76036-2600 Ph: (817) 297-4068 | Abc123 Dental 200 E Main St Ste C Crowley TX 76036-2600 Ph: (817) 297-4068 |
| NPI Number | 1669899357 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669899357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24637 (Texas) | Primary |
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