Organization
CENTRAL PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI D HARDAWAY DDS (DENTIST)
(817) 466-1200
Entity
Organization
Contact information
Practice address
3101 S. CENTER ST, SUITE #151, ARLINGTON, TX 76014
(817) 466-1200
(817) 466-1201
Mailing address
3101 S. CENTER ST., SUITE #151, ARLINGTON, TX 76014
(817) 466-1200
(817) 466-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23673
TX
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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