| Azure Dental | |
|
5611 Colleyville Blvd Ste 140 Colleyville TX 76034-6069 | |
| (817) 809-4445 | |
| Not Available |
| Full Name | Azure Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5611 Colleyville Blvd Ste 140, Colleyville, Texas |
| Authorized Official Name and Position | Aditi Shah (OWNER DENTIST) |
| Authorized Official Contact | 8178094445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azure Dental 5611 Colleyville Blvd Ste 140 Colleyville TX 76034-6069 Ph: (817) 809-4445 | Azure Dental 5611 Colleyville Blvd Ste 140 Colleyville TX 76034-6069 Ph: (817) 809-4445 |
| NPI Number | 1386156719 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386156719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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