| Forever Teeth P.l.l.c. | |
|
112 Industrial Ave Azle TX 76020-2934 | |
| (817) 270-3700 | |
| (817) 270-3711 |
| Full Name | Forever Teeth P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Industrial Ave, Azle, Texas |
| Authorized Official Name and Position | Tran Bao Dang (MANAGER) |
| Authorized Official Contact | 8172703700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Teeth P.l.l.c. 112 Industrial Ave Azle TX 76020-2934 Ph: (817) 270-3700 | Forever Teeth P.l.l.c. 112 Industrial Ave Azle TX 76020-2934 Ph: (817) 270-3700 |
| NPI Number | 1477758233 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 09/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477758233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20521 (Texas) | Primary |
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