Individual
DA XIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 W SEMINARY DR STE 101, FORT WORTH, TX 76115-2603
(646) 492-4070
Mailing address
4125 EMERSON AVE, DALLAS, TX 75205-1144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28128
TX
Other
Enumeration date
07/09/2012
Last updated
08/04/2014
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