Organization
ABC123 DENTAL CENTERS PLLC
Active
Other names
ABC123 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VO DDS (DENTIST)
(817) 656-1215
Entity
Organization
Contact information
Practice address
200 E MAIN ST, CROWLEY, TX 76036-2680
(817) 656-1215
(877) 687-6861
Mailing address
5416 BASSWOOD BLVD, FORT WORTH, TX 76137-4400
(817) 656-1215
(877) 687-6861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24637
TX
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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