Avue Cosmetic Dentistry | |
6509 W. Park Blvd 410 Plano TX 75093 | |
(972) 403-7640 | |
(972) 403-7642 |
Full Name | Avue Cosmetic Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 6509 W. Park Blvd, Plano, Texas |
Authorized Official Name and Position | Trent M Nguyen (OWNER) |
Authorized Official Contact | 8328168533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avue Cosmetic Dentistry 6509 W. Park Blvd 410 Plano TX 75093 Ph: (972) 403-7640 | Avue Cosmetic Dentistry 6509 W. Park Blvd 410 Plano TX 75093 Ph: (972) 403-7640 |
NPI Number | 1104174820 |
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Provider Enumeration Date | 08/28/2012 |
Last Update Date | 08/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104174820 | NPI | - | NPPES |
1467574319 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22693 (Texas) | Primary |
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