Provider Demographics
NPI:1417699059
Name:DD CARE ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:DD CARE ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC
Authorized Official - Prefix:
Authorized Official - First Name:DASHIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOVCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:972-404-4442
Mailing Address - Street 1:4320 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3701
Mailing Address - Country:US
Mailing Address - Phone:972-404-4442
Mailing Address - Fax:972-404-4404
Practice Address - Street 1:4320 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-3701
Practice Address - Country:US
Practice Address - Phone:972-404-4442
Practice Address - Fax:972-404-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty