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100 W Pioneer Pkwy Ste 106 Arlington TX 76010-6131 | |
| (817) 265-9527 | |
| (817) 299-9547 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 100 W Pioneer Pkwy, Arlington, Texas |
| Authorized Official Name and Position | Thuan Nguyen (PRESIDENT) |
| Authorized Official Contact | 8172679527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 W Pioneer Pkwy Ste 106 Arlington TX 76010-6131 Ph: (817) 265-9527 | 100 W Pioneer Pkwy Ste 106 Arlington TX 76010-6131 Ph: (817) 265-9527 |
| NPI Number | 1699967166 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699967166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22331 (Texas) | Primary |
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