Organization
ALLIANCE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHNBAE CHO (DENTIST)
(520) 906-5765
Entity
Organization
Contact information
Practice address
8901 TEHAMA RIDGE PKWY STE 119, FORT WORTH, TX 76177-2032
(682) 312-6878
Mailing address
8901 TEHAMA RIDGE PKWY STE 119, FORT WORTH, TX 76177-2032
(682) 312-6878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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