Individual
DR. ELIZABETH G. ACQUAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1415 W BUCKINGHAM RD, GARLAND, TX 75042-4202
(972) 496-4300
(972) 496-4388
Mailing address
1415 W BUCKINGHAM RD, GARLAND, TX 75042-4202
(972) 496-4300
(972) 496-4388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164599605
—
TX
01
—
B217631
CHIP ID NUMBER
TX
Enumeration date
03/01/2007
Last updated
07/08/2007
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