Organization
LOYAL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHSAN JAVIDAN NEJAD DDS (MANAGER)
(313) 529-2404
Entity
Organization
Contact information
Practice address
1021 SW 3RD ST, GRAND PRAIRIE, TX 75051-3070
(972) 264-4791
Mailing address
301 LAS COLINAS BLVD W, # 404, IRVING, TX 75039-5477
(313) 529-2404
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27429
TX
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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