| DO Dental Oral Sleep & Surgical Inc | |
|
3307 Miller Ave Ste A Fort Worth TX 76119-1971 | |
| (817) 383-1450 | |
| Not Available |
| Full Name | DO Dental Oral Sleep & Surgical Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3307 Miller Ave Ste A, Fort Worth, Texas |
| Authorized Official Name and Position | Phuong DO (SOLE OWNER) |
| Authorized Official Contact | 8173831450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| DO Dental Oral Sleep & Surgical Inc 3307 Miller Ave Ste A Fort Worth TX 76119-1971 Ph: (817) 383-1450 | DO Dental Oral Sleep & Surgical Inc 3307 Miller Ave Ste A Fort Worth TX 76119-1971 Ph: (817) 383-1450 |
| NPI Number | 1194573758 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194573758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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