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Organization
TEXAS DENTISTRY FOR KIDS BACHMAN
Active
Organization
TEXAS DENTISTRY FOR KIDS BACHMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BECK (CREDENTIALING COORDINATOR)
(469) 232-9283
Entity
Organization
Contact information
Practice address
2731 W NORTHWEST HWY, DALLAS, TX 75220-4788
(469) 232-9283
Mailing address
2731 W NORTHWEST HWY, DALLAS, TX 75220-4788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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