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Organization
ALICE DENTAL PLLC
Active
Organization
ALICE DENTAL PLLC
Active
Other names
Dental World
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN EARL BOGGS (CHIEF OF OPERATIONS)
(940) 368-1495
Entity
Organization
Contact information
Practice address
2611 E MAIN ST STE 401, ALICE, TX 78332-4269
(361) 396-4952
Mailing address
1261 W GREEN OAKS BLVD STE 103, ARLINGTON, TX 76013-8349
(940) 368-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24348
TX
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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