Organization
ARCHSTONE DENTAL-BEACH PLLC
Active
Other names
Archstone Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU PHARMD (CFO)
(817) 675-8753
Entity
Organization
Contact information
Practice address
7630 N BEACH ST, SUITE 130, FORT WORTH, TX 76137-1299
(972) 869-3789
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
(972) 590-8809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/07/2010
Last updated
04/25/2023
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