Organization
ADVANCED FAMILY DENTAL OF MIDLOTHIAN INC
Active
Other names
Advanced Family Dental of Midlothian
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN VARKEY DDS (OWNER)
(214) 724-6651
Entity
Organization
Contact information
Practice address
2021 S 14TH ST STE 150, MIDLOTHIAN, TX 76065-7302
(972) 544-0570
(972) 544-0579
Mailing address
2021 S 14TH ST STE 150, MIDLOTHIAN, TX 76065-7302
(972) 544-0570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497391627
ASSOCIATE
—
Enumeration date
03/02/2023
Last updated
03/02/2023
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