# IVODENT GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Oak Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023356359
- **Authorized official:** DR. JACKILYN DANG DMD (DIRECTOR)
- **Authorized official phone:** (817) 703-3791

## Contact information

- **Practice address:** 3851 SW GREEN OAKS BLVD, STE 101, ARLINGTON, TX 76017-4130
- **Practice address phone:** (817) 703-3791
- **Mailing address:** 3851 SW GREEN OAKS BLVD, STE 101, ARLINGTON, TX 76017-4130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 27231 | TX | Yes |

## Other

- **Enumeration date:** 01/21/2013
- **Last updated:** 01/21/2013