Organization
HYATT FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT HALE (AUTHORIZED REPRESENTATIVE)
(214) 702-0720
Entity
Organization
Contact information
Practice address
8711 BEDFORD EULESS RD, HURST, TX 76053-3851
(817) 589-0496
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
06/16/2018
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