Ace Dental05, Pllc

NPI #1043746274 in Temple, Texas

Provider Information

NPI Number: 1043746274
Entity Type: Organization
Organization Name: Ace Dental05, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 9, 2017
Last Updated: May 9, 2017

Practice Location

Address: 3108 S 31ST ST
Address 2: 3108
City: Temple
State: Texas
ZIP Code: 76502-1803
Phone: (201) 925-0210

Authorized Official

Name: MR. AC CHAKRAVARTY
Title: BUSINESS MANAGER
Phone: (201) 925-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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