Organization Name: | ADVANCE COMPREHENSIVE DENTAL CARE PA |
NPI Number: | 1659717189 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALEM AKKAD (PRESIDENT) |
Mailing Address: | 4515 Matlock Rd Ste 117 Arlington |
State: | TX US |
Postal Code: | 760185663 |
Phone Number: | 8558473311 |
Fax Number: | 8177176311 |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 24010 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |