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Organization

IDEAL DENTAL OF FORNEY, PLLC

Active
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Organization

IDEAL DENTAL OF FORNEY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL CANTU (INSURANCE SPECIALIST)
(469) 368-9889
Entity
Organization

Contact information

Practice address
724 EAST US HIGHWAY 80, SUITE 130, FORNEY, TX 75126
(972) 552-2373
Mailing address
724 E US HIGHWAY 80, SUITE #130, FORNEY, TX 75126
(972) 552-2373

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TX

Other

Enumeration date
11/10/2011
Last updated
11/10/2011
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