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Organization
ABC123 DENTAL CENTERS PLLC
Active
Organization
ABC123 DENTAL CENTERS PLLC
Active
Other names
ABC123 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VO DDS (DENTIST)
(817) 656-1215
Entity
Organization
Contact information
Practice address
200 E MAIN ST, CROWLEY, TX 76036-2680
(817) 656-1215
(877) 687-6861
Mailing address
5416 BASSWOOD BLVD, FORT WORTH, TX 76137-4400
(817) 656-1215
(877) 687-6861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24637
TX
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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