Organization
FOREVER TEETH P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAN BAO DANG DDS (MANAGER)
(817) 270-3700
Entity
Organization
Contact information
Practice address
112 INDUSTRIAL AVE, AZLE, TX 76020-2934
(817) 270-3700
(817) 270-3711
Mailing address
112 INDUSTRIAL AVE, AZLE, TX 76020-2934
(817) 270-3700
(817) 270-3711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20521
TX
Other
Enumeration date
06/20/2007
Last updated
09/27/2013
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