| Acquaye Dental | |
|
1415 W Buckingham Rd Garland TX 75042-4202 | |
| (972) 496-4300 | |
| (972) 496-4388 |
| Full Name | Acquaye Dental |
|---|---|
| Speciality | Dentist |
| Location | 1415 W Buckingham Rd, Garland, Texas |
| Authorized Official Name and Position | Elizabeth Acquaye (OWNER) |
| Authorized Official Contact | 9722723271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acquaye Dental 1270 Pleasant Valley Road Garland TX 75040 Ph: (972) 272-3271 | Acquaye Dental 1415 W Buckingham Rd Garland TX 75042-4202 Ph: (972) 496-4300 |
| NPI Number | 1730558321 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 09/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730558321 | NPI | - | NPPES |
| 164599605 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21763 (Texas) | Primary |
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