Organization
PARK CITIES ORTHODONTICS PA
Active
Organization
PARK CITIES ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN THI NGUYEN D.D.S., M.S. (OWNER)
(214) 484-8488
Entity
Organization
Contact information
Practice address
8611 HILLCREST AVE, SUITE 225, DALLAS, TX 75225-4207
(214) 484-8488
(214) 484-8497
Mailing address
8611 HILLCREST AVE, SUITE 225, DALLAS, TX 75225-4207
(214) 484-8488
(214) 484-8497
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063719953
NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM
TX
Enumeration date
04/22/2014
Last updated
04/22/2014
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