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Organization
RSVF POLK PLLC
Active
Organization
RSVF POLK PLLC
Active
Other names
Blu Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ARA FATOUREHCHIAN (MANAGING MEMBER)
(214) 493-1216
Entity
Organization
Contact information
Practice address
3939 S POLK ST, SUITE 310, DALLAS, TX 75224-4427
(214) 493-1216
Mailing address
3939 S POLK ST, SUITE 310, DALLAS, TX 75224-4427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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