| Great Southwest Family Dental | |
|
2501 W I 20 Ste 100 Grand Prairie TX 75052-3948 | |
| (972) 660-8457 | |
| (972) 660-8459 |
| Full Name | Great Southwest Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2501 W I 20 Ste 100, Grand Prairie, Texas |
| Authorized Official Name and Position | Chris Truong (OWNER) |
| Authorized Official Contact | 9726608457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Southwest Family Dental 2501 West I-20 Suite 100 Grand Prairie TX 75052 Ph: (972) 660-8457 | Great Southwest Family Dental 2501 W I 20 Ste 100 Grand Prairie TX 75052-3948 Ph: (972) 660-8457 |
| NPI Number | 1306111711 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306111711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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