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Organization
ACE DENTAL07 PLLC
Active
Organization
ACE DENTAL07 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARONAV CHAKRAVARTY (BUSINESS MANAGER)
(201) 925-0210
Entity
Organization
Contact information
Practice address
231 ENTERPRISE DR., UNIT 3, HEWITT, TX 76643
(201) 925-3014
Mailing address
231 E. ENTERPRISE DR., UNIT 3, HEWITT, TX 76643
(201) 925-3014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29291
TSBDE
TX
Enumeration date
10/09/2018
Last updated
10/09/2018
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