| Tarrant Dental Group Pllc | |
|
5310 N Tarrant Pkwy Ste 104 Fort Worth TX 76244-5386 | |
| (817) 849-9777 | |
| (817) 887-2722 |
| Full Name | Tarrant Dental Group Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5310 N Tarrant Pkwy Ste 104, Fort Worth, Texas |
| Authorized Official Name and Position | Andrew Xu (MEMBER MANAGER) |
| Authorized Official Contact | 6466623105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarrant Dental Group Pllc 5000 Legacy Dr Ste 240 Plano TX 75024-3112 Ph: (646) 662-3105 | Tarrant Dental Group Pllc 5310 N Tarrant Pkwy Ste 104 Fort Worth TX 76244-5386 Ph: (817) 849-9777 |
| NPI Number | 1679207641 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679207641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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