| 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 |
|---|---|
| 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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