| Family Tree Dentistry Pa | |
|
8190 Precinct Line Ste 200 Colleyville TX 76034-7675 | |
| (817) 520-0520 | |
| (817) 520-0525 |
| Full Name | Family Tree Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8190 Precinct Line Ste 200, Colleyville, Texas |
| Authorized Official Name and Position | Doan T Bui (DENTIST) |
| Authorized Official Contact | 8175200520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Tree Dentistry Pa 8190 Precinct Line Ste 200 Colleyville TX 76034-7675 Ph: (817) 520-0520 | Family Tree Dentistry Pa 8190 Precinct Line Ste 200 Colleyville TX 76034-7675 Ph: (817) 520-0520 |
| NPI Number | 1902073539 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902073539 | NPI | - | NPPES |
| 165664704 | Other | TX | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21783 (Texas) | Primary |
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