Aqua Dental of Texas Pllc
NPI #1851691539 in Duncanville, Texas
Provider Information
- NPI Number
- 1851691539
- Entity Type
- Organization
- Organization Name
- Aqua Dental of Texas Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 27, 2010
- Last Updated
- Oct 27, 2010
Practice Location
- Address
- 307 E CAMP WISDOM RD
- Address 2
- SUITE 305
- City
- Duncanville
- State
- Texas
- ZIP Code
- 75116-2705
- Phone
- (310) 923-3787
Authorized Official
- Name
- HARISHPAL VIRK
- Title
- MANAGING MEMBER
- Phone
- (310) 923-3787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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