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1124242425
NACE ANTHONY FORMAGUS
DALLAS, TX
NPI
1124242425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 12.435)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. NACE ANTHONY FORMAGUS
8080 N CENTRAL EXPY 380
DALLAS, TX 75206-1838
Phone number: 214-340-9179
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Mailing Address
Dr. NACE ANTHONY FORMAGUS
8080 N CENTRAL EXPY 380
DALLAS, TX 75206-1838
Phone number: 214-340-9179
Copy
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