| Ntds Grapevine | |
|
1600 W Northwest Hwy Ste 200 Grapevine TX 76051-8135 | |
| (817) 251-4888 | |
| (817) 251-9777 |
| Full Name | Ntds Grapevine |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1600 W Northwest Hwy Ste 200, Grapevine, Texas |
| Authorized Official Name and Position | Daniel Choi (PERIODONTIST) |
| Authorized Official Contact | 8172514888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ntds Grapevine 5980 Charlestown Dr Dallas TX 75230-1706 | Ntds Grapevine 1600 W Northwest Hwy Ste 200 Grapevine TX 76051-8135 Ph: (817) 251-4888 |
| NPI Number | 1669162574 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669162574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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