Avue Cosmetic Dentistry

NPI 1104174820 - Dentist - 1223G0001X

NPI Details
NPI 1104174820
Enumeration Date 08/28/2012
Last Updated 08/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TRENT M TRENT
Position OWNER
Phone (972) 403-7640
Fax (972) 403-7642
Practice Location
6509 W. PARK BLVD
410
PLANO TX, 75093, US
Phone (972) 403-7640
Fax (972) 403-7642
Business Location
6509 W. PARK BLVD
410
PLANO TX, 75093, US
Phone (972) 403-7640
Fax (972) 403-7642
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 22693
Remove 1104174820 NPI Number
 

According to our database, Avue Cosmetic Dentistry NPI is 1104174820, taxonomy code is 1223G0001X and license number is 22693, license state is located at Texas. Avue Cosmetic Dentistry physically located at 6509 W. Park Blvd, Plano TX, 75093. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104174820 NPI number is provided on an as is basis without warranty of any kind. 1104174820 is maintained by the National Plan & Provider Enumeration System. The contents of Avue Cosmetic Dentistry are for informational purposes only.