Dental Boat Club PC
Dental Boat Club PC is a Preferred Provider Organization in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4625 Boat Club Rd Ste 225Fort Worth, TX 76135-7022
Phone: (817) 666-8110
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 22593 (TX) |
|---|
Record details
| NPI number | 1306112149 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Haiduong Nguyen — Owner · (213) 862-0106 |
| NPI enumerated | March 27, 2012 |
| Last updated in NPPES | March 27, 2012 |
| Mailing address | 4625 Boat Club Rd., Suite 225, Fort Worth, TX 75135 |
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