Organization
AFFINITY SMILES DENTAL, PLLC
Active
Parent organization
AFFINITY SMILES DENTAL, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFINITY SMILES DENTAL, PLLC
Authorized official
CHUONG DO DDS (OWNER)
(817) 966-0648
Entity
Organization
Contact information
Practice address
6407 COLLEYVILLE BLVD, STE A, COLLEYVILLE, TX 76034-6228
(817) 421-1104
(817) 421-2006
Mailing address
6407 COLLEYVILLE BLVD, STE A, COLLEYVILLE, TX 76034-6228
(817) 421-1104
(817) 421-2006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23837
TX
1223G0001X
General Practice Dentistry
23841
TX
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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