Organization
IVODENT GROUP, PLLC
Active
Other names
Great Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKILYN DANG DMD (DIRECTOR)
(817) 703-3791
Entity
Organization
Contact information
Practice address
3851 SW GREEN OAKS BLVD, STE 101, ARLINGTON, TX 76017-4130
(817) 703-3791
Mailing address
3851 SW GREEN OAKS BLVD, STE 101, ARLINGTON, TX 76017-4130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27231
TX
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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