Do Dental Oral Sleep & Surgical Inc | |
3307 Miller Ave Ste A Fort Worth TX 76119-1971 | |
(817) 383-1450 | |
Not Available |
Full Name | Do Dental Oral Sleep & Surgical Inc |
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Speciality | Clinic/Center |
Location | 3307 Miller Ave Ste A, Fort Worth, Texas |
Authorized Official Name and Position | Phuong Do (SOLE OWNER) |
Authorized Official Contact | 8173831450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Do Dental Oral Sleep & Surgical Inc 3307 Miller Ave Ste A Fort Worth TX 76119-1971 Ph: (817) 383-1450 | Do Dental Oral Sleep & Surgical Inc 3307 Miller Ave Ste A Fort Worth TX 76119-1971 Ph: (817) 383-1450 |
NPI Number | 1194573758 |
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Provider Enumeration Date | 05/08/2024 |
Last Update Date | 05/08/2024 |
Medicare PECOS PAC ID | 8527500479 |
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Medicare Enrollment ID | O20240606001207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194573758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Phuong Kim Do |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1417171281 PECOS PAC ID: 7911285861 Enrollment ID: I20240401000180 |
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