Organization
ELIZABETH ACQUAYE PA
Active
Other names
Acquaye Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ACQUAYE DDS (OWNER)
(972) 272-3271
Entity
Organization
Contact information
Practice address
1415 W BUCKINGHAM RD, GARLAND, TX 75042-4202
(972) 496-4300
(972) 496-4388
Mailing address
1270 PLEASANT VALLEY ROAD, GARLAND, TX 75040
(972) 272-3271
(972) 767-0110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164599605
—
TX
Enumeration date
09/24/2015
Last updated
09/24/2015
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