Abc123 Dental in Crowley LLC

Organization Active NPI General Practice Dentistry · Crowley, TX

NPI 1669899357 · NPPES record last updated Mar 20, 2014

Key facts

NPI
1669899357
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
24637 (TX)
Legal business name
ABC123 DENTAL IN CROWLEY LLC
Practice address
200 E Main St Ste C
Crowley, TX 76036-2600
Phone
(817) 297-4068
Fax
(877) 230-8349
NPI assigned
Mar 20, 2014
Organization subpart
No

Authorized official

Name
Dr. Peter Vo, DDS
Title
Owner
Phone
(817) 297-4068

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Abc123 Dental (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 24637 TX Yes

Addresses

Primary practice location

200 E Main St Ste C
Crowley, TX 76036-2600

Mailing address

200 E Main St Ste C
Crowley, TX 76036-2600
Phone (817) 297-4068

Other names

  • ABC123 Dental Doing business as

Other providers in Crowley, TX

All providers in Crowley, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.