Affinity Smiles Dental, Pllc | |
6407 Colleyville Blvd Ste A Colleyville TX 76034-6228 | |
(817) 421-1104 | |
(817) 421-2006 |
Full Name | Affinity Smiles Dental, Pllc |
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Speciality | Dentist - General Practice |
Location | 6407 Colleyville Blvd, Colleyville, Texas |
Authorized Official Name and Position | Chuong Do (OWNER) |
Authorized Official Contact | 8179660648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Affinity Smiles Dental, Pllc 6407 Colleyville Blvd Ste A Colleyville TX 76034-6228 Ph: (817) 421-1104 | Affinity Smiles Dental, Pllc 6407 Colleyville Blvd Ste A Colleyville TX 76034-6228 Ph: (817) 421-1104 |
NPI Number | 1043575129 |
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Provider Enumeration Date | 07/05/2012 |
Last Update Date | 07/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043575129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 23837 (Texas) | Primary |
1223G0001X | Dentist - General Practice | 23841 (Texas) | Secondary |
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