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NPI Code Detail

MEDICARE: TOWN NORTH DENTAL, P.A.

MEDICARE: TOWN NORTH DENTAL, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1629338793
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWN NORTH DENTAL, P.A.
Provider Business Mailing Address
First Line : 532 W RANDOL MILL RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 532 W RANDOL MILL RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5738
Country : US
Telephone Number : 214-420-7008
Fax Number : 214-420-7002
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT E TAFEL
Credential : D.D.S.
Telephone Number : 214-883-4285
Provider Enumeration Date : 05/23/2012
Last Update Date : 05/23/2012

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Directions to “TOWN NORTH DENTAL, P.A. ” Practice Location

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