Provider Demographics
NPI:1629475637
Name:MARKLIN HOLDINGS PLLC
Entity Type:Organization
Organization Name:MARKLIN HOLDINGS PLLC
Other - Org Name:GREYSTONE DENTAL & ORRTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGERBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-451-9588
Mailing Address - Street 1:1476 EASTCHASE PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120
Mailing Address - Country:US
Mailing Address - Phone:817-451-9588
Mailing Address - Fax:817-451-1242
Practice Address - Street 1:1476 EASTCHASE PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120
Practice Address - Country:US
Practice Address - Phone:817-451-9588
Practice Address - Fax:817-451-1242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22771122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty