Organization
ISMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH NGOC TRUONG D.D.S (PRESIDENT)
(817) 292-9500
Entity
Organization
Contact information
Practice address
5824 SOUTH HULEN ST., FORT WORTH, TX 76132
(817) 292-9500
Mailing address
5824 SOUTH HULEN ST., FORT WORTH, TX 76132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22611
TX
Other
Enumeration date
04/26/2007
Last updated
07/16/2008
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