| Dominion 1 Dental Dental Group Pllc | |
|
801 W Park Row Dr Arlington TX 76013-3904 | |
| (817) 784-7888 | |
| Not Available |
| Full Name | Dominion 1 Dental Dental Group Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 801 W Park Row Dr, Arlington, Texas |
| Authorized Official Name and Position | Hanan Adel Elsaie (OWNER) |
| Authorized Official Contact | 2149018319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion 1 Dental Dental Group Pllc 801 W Park Row Drive Arlington TX 76013 Ph: (817) 784-7888 | Dominion 1 Dental Dental Group Pllc 801 W Park Row Dr Arlington TX 76013-3904 Ph: (817) 784-7888 |
| NPI Number | 1710439815 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710439815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19153 (Texas) | Primary |
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