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Organization
DENTAL REPUBLIC PLAZA PC
Active
Organization
DENTAL REPUBLIC PLAZA PC
Active
Other names
Dental Republic West Ave
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SON TRAN DDS (PRESIDENT)
(972) 747-1400
Entity
Organization
Contact information
Practice address
11535 WEST AVE, SAN ANTONIO, TX 78213-1343
(210) 780-6000
Mailing address
3211 W NORTHWEST HWY # 100, DALLAS, TX 75220-5944
(972) 747-1400
(214) 242-4455
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/30/2022
Last updated
05/30/2022
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