Organization
FAMILY DENTAL AND ORTHODONTICS FT WORTH ST GRAND PRAIRIE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN THOMPSON (DDS)
(972) 512-0285
Entity
Organization
Contact information
Practice address
1017 FORT WORTH ST, 100, GRAND PRAIRIE, TX 75050-5402
(214) 412-2595
Mailing address
15110 DALLAS PKWY, SUITE 470, DALLAS, TX 75248-4635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
10/28/2013
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