Organization
ISMILE DENTAL II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG NGUYEN DMD (OWNER)
(817) 419-9009
Entity
Organization
Contact information
Practice address
4935 S COLLINS STREET, SUITE 201, ARLINGTON, TX 76018
(817) 419-9009
(817) 419-3377
Mailing address
4935 S COLLINS STREET, SUITE 201, ARLINGTON, TX 76018
(817) 419-9009
(817) 419-3377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196848901
—
TX
Enumeration date
11/05/2008
Last updated
07/31/2019
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