Organization
ABC123 DENTAL IN CROWLEY LLC
Active
Other names
ABC123 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VO DDS (OWNER)
(817) 297-4068
Entity
Organization
Contact information
Practice address
200 E MAIN ST STE C, CROWLEY, TX 76036-2600
(817) 297-4068
(877) 230-8349
Mailing address
200 E MAIN ST STE C, CROWLEY, TX 76036-2600
(817) 297-4068
(877) 230-8349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24637
TX
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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