| Ivodent Group, Pllc | |
|
3851 Sw Green Oaks Blvd Ste 101 Arlington TX 76017-4130 | |
| (817) 703-3791 | |
| Not Available |
| Full Name | Ivodent Group, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3851 Sw Green Oaks Blvd, Arlington, Texas |
| Authorized Official Name and Position | Jackilyn Dang (DIRECTOR) |
| Authorized Official Contact | 8177033791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivodent Group, Pllc 3851 Sw Green Oaks Blvd Ste 101 Arlington TX 76017-4130 Ph: () - | Ivodent Group, Pllc 3851 Sw Green Oaks Blvd Ste 101 Arlington TX 76017-4130 Ph: (817) 703-3791 |
| NPI Number | 1023356359 |
|---|---|
| Provider Enumeration Date | 01/21/2013 |
| Last Update Date | 01/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023356359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27231 (Texas) | Primary |
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