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Organization
EXCEL DENTAL CLINIC OF LANCASTER, PC
Active
Organization
EXCEL DENTAL CLINIC OF LANCASTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN TU HUYNH DDS (PRESIDENT)
(469) 655-9941
Entity
Organization
Contact information
Practice address
3200 S LANCASTER RD STE 183, DALLAS, TX 75216-4555
(214) 375-9999
(214) 375-9997
Mailing address
4709 RAVENDALE DR, RICHARDSON, TX 75082-3838
(469) 655-5221
(214) 375-9997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24546
TX
122300000X
Dentist
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212165901
—
TX
Enumeration date
06/15/2010
Last updated
10/21/2022
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