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Organization
JUN FAMILY DENTISTRY
Active
Organization
JUN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY NGUYEN DDS (OWNER)
(682) 250-2080
Entity
Organization
Contact information
Practice address
4605 W BAILEY BOSWELL RD STE 140, FORT WORTH, TX 76179-4327
(682) 250-2080
Mailing address
4605 W BAILEY BOSWELL RD STE 140, FORT WORTH, TX 76179-4327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700226651
NPPES
TX
Enumeration date
05/15/2019
Last updated
05/15/2019
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