Organization
BERRY DENTAL FW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILE NGUYEN (OWNER)
(972) 896-9386
Entity
Organization
Contact information
Practice address
4201 E BERRY ST STE 15, FORT WORTH, TX 76105-5052
(972) 896-9386
Mailing address
4722 LONGVUE DR, FRISCO, TX 75034-7548
(972) 896-9386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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