Healthcare Provider Details

I. General information

NPI: 1982248035
Provider Name (Legal Business Name): ARCH DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 DEBBIE LN STE 130
ARLINGTON TX
76002-5073
US

IV. Provider business mailing address

1450 DEBBIE LN STE 130
ARLINGTON TX
76002-5073
US

V. Phone/Fax

Practice location:
  • Phone: 817-533-4755
  • Fax: 817-533-4755
Mailing address:
  • Phone: 817-533-4755
  • Fax: 817-533-4755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHAU TRUONG
Title or Position: BUSINESS OWNER
Credential: DDS
Phone: 817-533-4755