Dazzle Dental Care, PA

NPI #1043479066 in Flower Mound, Texas

Provider Information

NPI Number: 1043479066
Entity Type: Organization
Organization Name: Dazzle Dental Care, PA
Primary Specialty: Dentist
Enumeration Date: Jun 5, 2008
Last Updated: Apr 25, 2011

Practice Location

Address: 1121 FLOWER MOUND RD
Address 2: SUITE 500
City: Flower Mound
State: Texas
ZIP Code: 75028-3504
Phone: (972) 355-8568

Authorized Official

Name: DR. JOHNIE M NGUYEN, DDS
Title: PRESIDENT/ DENTIST
Phone: (972) 355-8568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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