| Stone Glen Dental Care Pllc | |
|
4400 Heritage Trace Pkwy Ste 212 Fort Worth TX 76244-8901 | |
| (817) 482-1400 | |
| Not Available |
| Full Name | Stone Glen Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4400 Heritage Trace Pkwy, Fort Worth, Texas |
| Authorized Official Name and Position | Thanh-xuan Bui Nguyen (OWNER/DENTIST) |
| Authorized Official Contact | 8174821400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Glen Dental Care Pllc 4400 Heritage Trace Pkwy Ste 212 Fort Worth TX 76244-8901 Ph: (817) 482-1400 | Stone Glen Dental Care Pllc 4400 Heritage Trace Pkwy Ste 212 Fort Worth TX 76244-8901 Ph: (817) 482-1400 |
| NPI Number | 1447793229 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447793229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28307 (Texas) | Primary |
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