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Organization
ISMILE DENTAL AT THE CHISOLM TRAIL PLLC
Active
Organization
ISMILE DENTAL AT THE CHISOLM TRAIL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG NGUYEN (OWNER)
(512) 571-8961
Entity
Organization
Contact information
Practice address
5513 SYCAMORE SCHOOL RD, FORT WORTH, TX 76123
(817) 899-6311
Mailing address
5513 SYCAMORE SCHOOL RD, FORT WORTH, TX 76123
(817) 899-6311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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