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Organization
QIAN AMY QIAN DENTAL PLLC
Active
Organization
QIAN AMY QIAN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QIAN AMY QIAN DDS (OWNER)
(817) 720-3035
Entity
Organization
Contact information
Practice address
9701 HARMON RD, STE 101, FORT WORTH, TX 76177
(817) 720-3035
Mailing address
9701 HARMON RD, STE 101, FORT WORTH, TX 76177
(817) 720-3035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457760027
NPI TYPE 1
TX
Enumeration date
06/15/2018
Last updated
06/15/2018
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