Organization
STONE GLEN ALLIANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH-XUAN NGUYEN (OWNER)
(817) 482-1400
Entity
Organization
Contact information
Practice address
4400 HERITAGE TRACE PKWY STE 212, FORT WORTH, TX 76244-8902
(817) 482-1400
Mailing address
4400 HERITAGE TRACE PKWY STE 212, FORT WORTH, TX 76244-8902
(817) 482-1400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/25/2022
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