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Organization
IDTC DENTAL HYGIENE CENTER
Active
Organization
IDTC DENTAL HYGIENE CENTER
Active
Other names
IDTC Dental Hygiene Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO SMITH (OWNER)
(469) 299-8974
Entity
Organization
Contact information
Practice address
838 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-1517
(469) 299-8974
(469) 480-4763
Mailing address
838 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-1517
(469) 299-8974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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