| Excel Dental Clinic Of Fort Worth, Pc | |
|
913 E Berry St Ste 103 Fort Worth TX 76110-4451 | |
| (469) 855-9941 | |
| Not Available |
| Full Name | Excel Dental Clinic Of Fort Worth, Pc |
|---|---|
| Speciality | Dentist |
| Location | 913 E Berry St Ste 103, Fort Worth, Texas |
| Authorized Official Name and Position | Quyen Tu Huynh (PRESIDENT) |
| Authorized Official Contact | 4698559941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Dental Clinic Of Fort Worth, Pc 4709 Ravendale Dr Richardson TX 75082-3838 Ph: (469) 855-9941 | Excel Dental Clinic Of Fort Worth, Pc 913 E Berry St Ste 103 Fort Worth TX 76110-4451 Ph: (469) 855-9941 |
| NPI Number | 1306167101 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306167101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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