# DFWFAMILY DENTAL CENTERS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730370545
- **Authorized official:** DR. MARY PU (GENERAL MANAGER)
- **Authorized official phone:** (817) 675-8753

## Contact information

- **Practice address:** 4800 S HULEN ST STE 102, FORT WORTH, TX 76132-1400
- **Practice address phone:** (817) 877-4867
- **Practice address fax:** (214) 599-8897
- **Mailing address:** 3605 MOCKINGBIRD LN, DALLAS, TX 75205-2122
- **Mailing address phone:** (817) 675-8753

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 03/06/2008