Organization
ABC 123 DENTAL CENTERS PROFESSIONAL
Active
Other names
ABC 123 Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T VO (OWNER)
(817) 496-2343
Entity
Organization
Contact information
Practice address
6426 MEADOWBROOK DR, FORT WORTH, TX 76112-5123
(817) 496-2343
(817) 496-2389
Mailing address
6426 MEADOWBROOK DR, FORT WORTH, TX 76112-5123
(817) 496-2343
(817) 496-2389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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