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Organization
STAR DENTAL
Active
Organization
STAR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAZMIN RAMIREZ (OFFICE MANAGER)
(817) 483-1692
Entity
Organization
Contact information
Practice address
5615 SW GREEN OAKS BLVD, ARLINGTON, TX 76017-1105
(817) 483-1692
(817) 483-1792
Mailing address
5615 SW GREEN OAKS BLVD, ARLINGTON, TX 76017-1105
(817) 483-1692
(817) 483-1792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28840
TX
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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