| Ismile Dental At The Chisolm Trail Pllc | |
|
5513 Sycamore School Rd Fort Worth TX 76123 | |
| (817) 899-6311 | |
| Not Available |
| Full Name | Ismile Dental At The Chisolm Trail Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5513 Sycamore School Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Long Nguyen (OWNER) |
| Authorized Official Contact | 5125718961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Dental At The Chisolm Trail Pllc 5513 Sycamore School Rd Fort Worth TX 76123 Ph: (817) 899-6311 | Ismile Dental At The Chisolm Trail Pllc 5513 Sycamore School Rd Fort Worth TX 76123 Ph: (817) 899-6311 |
| NPI Number | 1205440146 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205440146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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