| All Dental P.a. | |
|
5365 Spring Valley Rd #130 Dallas TX 75254-3097 | |
| (972) 386-4999 | |
| (972) 386-4964 |
| Full Name | All Dental P.a. |
|---|---|
| Speciality | Dentist |
| Location | 5365 Spring Valley Rd, Dallas, Texas |
| Authorized Official Name and Position | Amir Izaddoust (OWNER) |
| Authorized Official Contact | 9723864999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Dental P.a. 5365 Spring Valley Rd #130 Dallas TX 75254-3097 Ph: (972) 386-4999 | All Dental P.a. 5365 Spring Valley Rd #130 Dallas TX 75254-3097 Ph: (972) 386-4999 |
| NPI Number | 1669743282 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669743282 | NPI | - | NPPES |
| 166977201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20873 (Texas) | Primary |
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