| Archie Dental Pllc | |
|
2208 W Park Row Dr Ste 102 Pantego TX 76013-7408 | |
| (817) 422-9280 | |
| (682) 323-5499 |
| Full Name | Archie Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2208 W Park Row Dr Ste 102, Pantego, Texas |
| Authorized Official Name and Position | Dinh Nguyen (MANAGING MEMBER) |
| Authorized Official Contact | 8174229381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archie Dental Pllc 2208 W Park Row Dr Ste 102 Pantego TX 76013-7408 Ph: (817) 422-9280 | Archie Dental Pllc 2208 W Park Row Dr Ste 102 Pantego TX 76013-7408 Ph: (817) 422-9280 |
| NPI Number | 1821619941 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821619941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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