New Avenue Dentistry, Pllc

NPI #1821549403 in Irving, Texas

Provider Information

NPI Number: 1821549403
Entity Type: Organization
Organization Name: New Avenue Dentistry, Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 19, 2016
Last Updated: Oct 19, 2016

Practice Location

Address: 3007 SKYWAY CIR N
Address 2: SUITE 100
City: Irving
State: Texas
ZIP Code: 75038-3524
Phone: (972) 905-1359

Authorized Official

Name: DR. MICHAEL FOOSHEE, D.D.S.
Title: PRESIDENT
Phone: (972) 905-1359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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