Organization
TMAA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUONG TA DDS (OWNER/PROVIDER)
(817) 428-7704
Entity
Organization
Contact information
Practice address
4109 BROWN TRAIL, SUITE 102, FORT WORTH, TX 76304-3940
(181) 742-8770
Mailing address
4109 BROWN TRAIL, SUITE 102, FORT WORTH, TX 76304-3940
(181) 742-8770
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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