Provider Demographics
NPI:1831524727
Name:DSC DENTAL GRAPEVINE PLLC
Entity type:Organization
Organization Name:DSC DENTAL GRAPEVINE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-726-5387
Mailing Address - Street 1:1600 W NORTHWEST HWY
Mailing Address - Street 2:SUITE #300
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8112
Mailing Address - Country:US
Mailing Address - Phone:817-251-4888
Mailing Address - Fax:817-251-9777
Practice Address - Street 1:1600 W NORTHWEST HWY
Practice Address - Street 2:SUITE #300
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8112
Practice Address - Country:US
Practice Address - Phone:817-251-4888
Practice Address - Fax:817-251-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty