# ARCHSTONE DENTAL-BEACH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Archstone Dental & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700104254
- **Authorized official:** MARY PU PHARMD (CFO)
- **Authorized official phone:** (817) 675-8753

## Contact information

- **Practice address:** 7630 N BEACH ST, SUITE 130, FORT WORTH, TX 76137-1299
- **Practice address phone:** (972) 869-3789
- **Mailing address:** PO BOX 734753, DALLAS, TX 75373-4753
- **Mailing address phone:** (972) 869-3789
- **Mailing address fax:** (972) 590-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2010
- **Last updated:** 04/25/2023