| Park Cities Orthodontics Pa | |
|
8611 Hillcrest Ave Suite 225 Dallas TX 75225-4207 | |
| (214) 484-8488 | |
| (214) 484-8497 |
| Full Name | Park Cities Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8611 Hillcrest Ave, Dallas, Texas |
| Authorized Official Name and Position | Tien Thi Nguyen (OWNER) |
| Authorized Official Contact | 2144848488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Cities Orthodontics Pa 8611 Hillcrest Ave Suite 225 Dallas TX 75225-4207 Ph: (214) 484-8488 | Park Cities Orthodontics Pa 8611 Hillcrest Ave Suite 225 Dallas TX 75225-4207 Ph: (214) 484-8488 |
| NPI Number | 1073933750 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073933750 | NPI | - | NPPES |
| 1063719953 | Other | TX | NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 21120 (Texas) | Primary |
Jdc Healthcare, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy, Suite 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-488-1899 | |
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