Organization
CAREWELL DENTAL DALLAS PA
Active
Other names
Carewell Dental Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WANG DDS (OWNER)
(214) 714-7997
Entity
Organization
Contact information
Practice address
3128 FOREST LN STE 106, DALLAS, TX 75234-7725
(972) 241-4820
Mailing address
3128 FOREST LN STE 106, DALLAS, TX 75234-7725
(972) 241-4820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770747578
NPI
TX
01
—
1962995134
NPI
TX
Enumeration date
03/15/2019
Last updated
03/15/2019
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