Archstone Dental-azle Pllc | |
600 Boyd Rd Ste B Azle TX 76020-4860 | |
(972) 869-3789 | |
Not Available |
Full Name | Archstone Dental-azle Pllc |
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Speciality | Dentist |
Location | 600 Boyd Rd Ste B, Azle, Texas |
Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Archstone Dental-azle Pllc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: () - | Archstone Dental-azle Pllc 600 Boyd Rd Ste B Azle TX 76020-4860 Ph: (972) 869-3789 |
NPI Number | 1427401116 |
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Provider Enumeration Date | 07/18/2016 |
Last Update Date | 08/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427401116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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