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Organization
WOW FAMILY DENTAL P.A
Active
Organization
WOW FAMILY DENTAL P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAIVAN AFKAMI DDS (OWNER)
(817) 577-9200
Entity
Organization
Contact information
Practice address
3306 W CAMP WISDOM RD, STE. 100, DALLAS, TX 75237-2596
(817) 577-9200
Mailing address
1801 PRECINCT LINE RD, STE. A, HURST, TX 76054-3170
(817) 577-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20467
TX
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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