Individual
DR. DIANA VU DAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2906 E BERRY ST, FORT WORTH, TX 76105-4755
(512) 619-1191
Mailing address
2906 E BERRY ST, FORT WORTH, TX 76105-4755
(512) 619-1191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28934
TX
1223G0001X
General Practice Dentistry
28934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28934
—
TX
Enumeration date
05/28/2013
Last updated
01/15/2015
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