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Organization
NEW AVENUE DENTISTRY, PLLC
Active
Organization
NEW AVENUE DENTISTRY, PLLC
Active
Other names
New Avenue Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FOOSHEE D.D.S. (PRESIDENT)
(972) 905-1359
Entity
Organization
Contact information
Practice address
3007 SKYWAY CIR N, SUITE 100, IRVING, TX 75038-3524
(972) 905-1359
Mailing address
3007 SKYWAY CIR N, SUITE 100, IRVING, TX 75038-3524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29312
TX
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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