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Organization
IVODENT GROUP, PLLC
Active
Organization
IVODENT GROUP, PLLC
Active
Other names
Great Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKILYN DANG DMD (DIRECTOR)
(817) 703-3791
Entity
Organization
Contact information
Practice address
3851 SW GREEN OAKS BLVD, STE 101, ARLINGTON, TX 76017-4130
(817) 703-3791
Mailing address
3851 SW GREEN OAKS BLVD, STE 101, ARLINGTON, TX 76017-4130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27231
TX
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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