Organization
EXCEL DENTAL CLINIC OF FORT WORTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN TU HUYNH DDS (PRESIDENT)
(469) 855-9941
Entity
Organization
Contact information
Practice address
913 E BERRY ST STE 103, FORT WORTH, TX 76110-4451
(469) 855-9941
Mailing address
4709 RAVENDALE DR, RICHARDSON, TX 75082-3838
(469) 855-9941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
04/16/2015
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