NPI 1003280371

Loyal Family Dentistry

Organisation Dental Clinic/Center Grand Prairie, TX

Practice location

Address: 1021 SW 3rd St, Grand Prairie, TX 75051-3070
Phone: (972) 264-4791
Mailing address: 301 Las Colinas Blvd W # 404, Irving, TX 75039-5477

Authorised official

Name: Ehsan Javidan Nejad
Title: Manager
Phone: (313) 529-2404

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 27429 (TX)

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Registry record

NPI: 1003280371
Entity type: Organization
NPI issued: 23 Nov 2015
Record last updated: 23 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.