# ABC123 DENTAL IN CROWLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABC123 Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669899357
- **Authorized official:** DR. PETER VO DDS (OWNER)
- **Authorized official phone:** (817) 297-4068

## Contact information

- **Practice address:** 200 E MAIN ST STE C, CROWLEY, TX 76036-2600
- **Practice address phone:** (817) 297-4068
- **Practice address fax:** (877) 230-8349
- **Mailing address:** 200 E MAIN ST STE C, CROWLEY, TX 76036-2600
- **Mailing address phone:** (817) 297-4068
- **Mailing address fax:** (877) 230-8349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 24637 | TX | Yes |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 03/20/2014