Organization
ARCHSTONE DENTAL - ALEDO PLLC
Active
Other names
Archstone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
103 WILLOW BEND DR STE 100, ALEDO, TX 76008-5741
(972) 869-3789
Mailing address
103 WILLOW BEND DR STE 100, ALEDO, TX 76008-5741
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/25/2023
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