Organization
ARCHSTONE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
639 SHERRY LANE, FORT WORTH, TX 76116
(817) 737-7711
(817) 737-7712
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(817) 737-7711
(817) 737-7712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/18/2009
Last updated
12/27/2021
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