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Organization

ARCHIE DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DINH NGUYEN DDS (MANAGING MEMBER)
(817) 422-9381
Entity
Organization

Contact information

Practice address
2208 W PARK ROW DR STE 102, PANTEGO, TX 76013-7408
(817) 422-9280
(682) 323-5499
Mailing address
2208 W PARK ROW DR STE 102, PANTEGO, TX 76013-7408
(817) 422-9280
(682) 323-5499

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/29/2020
Last updated
04/29/2020
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