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Organization
LITTLE ELM DENTAL CARE PA
Active
Organization
LITTLE ELM DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAIVAN KEVIN AFKHAMI DDS (PRESIDENT)
(817) 577-9200
Entity
Organization
Contact information
Practice address
800 W ELDORADO PKWY, SUITE 124, LITTLE ELM, TX 75068-5088
(972) 292-3820
(972) 292-3802
Mailing address
1801 PRECINCT LINE RD, SUITE A, HURST, TX 76054-3170
(817) 577-9200
(817) 281-9231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20467
TX
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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