Organization
ARCH DENTAL OF DEBBIE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM T VAN DMD (OWNER)
(817) 533-4755
Entity
Organization
Contact information
Practice address
1450 DEBBIE LANE, SUITE #130, ARLINGTON, TX 76002
(817) 533-4755
(817) 533-4760
Mailing address
4712 SEA HAWK ST, GRAND PRAIRIE, TX 75052-4147
(954) 591-0298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
08/15/2018
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