Organization
BRUSH UP DENTISTRY
Active
Other names
Luminox Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEU NGUYEN DMD (GENERAL DENTIST)
(817) 535-4800
Entity
Organization
Contact information
Practice address
2320 OAKLAND BLVD STE 100, FORT WORTH, TX 76103-3260
(817) 535-4800
(817) 535-4801
Mailing address
2320 OAKLAND BLVD STE 100, FORT WORTH, TX 76103-3260
(817) 535-4800
(817) 535-4801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/25/2024
Last updated
12/04/2024
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