| Affinity Smiles Dental, Pllc | |
|
1112 N Highway 377 Ste 106 Roanoke TX 76262-9125 | |
| (817) 966-0648 | |
| Not Available |
| Full Name | Affinity Smiles Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1112 N Highway 377 Ste 106, Roanoke, Texas |
| Authorized Official Name and Position | Chuong Do (MEMBER/MANAGER) |
| Authorized Official Contact | 8179660648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Smiles Dental, Pllc 1112 N Highway 377 Ste 106 Roanoke TX 76262-9125 Ph: () - | Affinity Smiles Dental, Pllc 1112 N Highway 377 Ste 106 Roanoke TX 76262-9125 Ph: (817) 966-0648 |
| NPI Number | 1427295831 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427295831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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