| Ismile Dental Ii, Pllc | |
|
4935 S Collins Street Suite 201 Arlington TX 76018 | |
| (817) 419-9009 | |
| (817) 419-3377 |
| Full Name | Ismile Dental Ii, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4935 S Collins Street, Arlington, Texas |
| Authorized Official Name and Position | Long Nguyen (OWNER) |
| Authorized Official Contact | 8174199009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Dental Ii, Pllc 4935 S Collins Street Suite 201 Arlington TX 76018 Ph: (817) 419-9009 | Ismile Dental Ii, Pllc 4935 S Collins Street Suite 201 Arlington TX 76018 Ph: (817) 419-9009 |
| NPI Number | 1629222591 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629222591 | NPI | - | NPPES |
| 196848901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22611 (Texas) | Primary |
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