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Organization
STADIUM DENTAL PLLC
Active
Organization
STADIUM DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIREN A PATEL DDS (OWNER)
(817) 801-9500
Entity
Organization
Contact information
Practice address
1514 E ABRAM ST, SUITE A, ARLINGTON, TX 76010-7213
(817) 801-9500
(817) 801-9501
Mailing address
1930 E PARK ROW DR, ARLINGTON, TX 76010-4744
(817) 801-9500
(817) 801-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27622
TX
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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