Organization
DFWFAMILY DENTAL CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY PU (GENERAL MANAGER)
(817) 675-8753
Entity
Organization
Contact information
Practice address
4800 S HULEN ST STE 102, FORT WORTH, TX 76132-1400
(817) 877-4867
(214) 599-8897
Mailing address
3605 MOCKINGBIRD LN, DALLAS, TX 75205-2122
(817) 675-8753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
03/06/2008
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