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2111 N Collins St Ste 203 Arlington TX 76011-2810 | |
| (817) 459-2113 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2111 N Collins St Ste 203, Arlington, Texas |
| Authorized Official Name and Position | Haley Wooster (ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 7127338551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2111 N Collins St Ste 203 Arlington TX 76011-2810 Ph: (817) 459-2113 | 2111 N Collins St Ste 203 Arlington TX 76011-2810 Ph: (817) 459-2113 |
| NPI Number | 1790468726 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790468726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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