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Organization
WALNUT DENTAL, P.A.
Active
Organization
WALNUT DENTAL, P.A.
Active
Other names
Fareast Venture Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D TRAN DDS (PRESIDENT)
(972) 699-9800
Entity
Organization
Contact information
Practice address
810 N PLANO RD STE 210, RICHARDSON, TX 75081-3854
(972) 699-9800
(972) 863-9037
Mailing address
810 N PLANO RD STE 210, RICHARDSON, TX 75081-3854
(972) 699-9800
(972) 863-9037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1482721-01
—
TX
Enumeration date
10/25/2006
Last updated
08/09/2021
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