Organization
AVANT DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHINE YIP DDS (DENTIST)
(972) 864-0222
Entity
Organization
Contact information
Practice address
843 W MILLER RD, GARLAND, TX 75041
(972) 864-0222
(972) 864-0200
Mailing address
843 W MILLER RD, GARLAND, TX 75041-1811
(972) 864-0222
(972) 864-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163990-03
—
TX
Enumeration date
08/06/2018
Last updated
10/23/2018
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