# FOREVER TEETH P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477758233
- **Authorized official:** DR. TRAN BAO DANG DDS (MANAGER)
- **Authorized official phone:** (817) 270-3700

## Contact information

- **Practice address:** 112 INDUSTRIAL AVE, AZLE, TX 76020-2934
- **Practice address phone:** (817) 270-3700
- **Practice address fax:** (817) 270-3711
- **Mailing address:** 112 INDUSTRIAL AVE, AZLE, TX 76020-2934
- **Mailing address phone:** (817) 270-3700
- **Mailing address fax:** (817) 270-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20521 | TX | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 09/27/2013