# CNC-DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154862415
- **Authorized official:** DR. QUOC VU (D.D.S.)
- **Authorized official phone:** (972) 306-2121

## Contact information

- **Practice address:** 4043 TRINITY MILLS RD, \#101, DALLAS, TX 75287-6778
- **Practice address phone:** (972) 306-2121
- **Mailing address:** 4043 TRINITY MILLS RD, \#101, DALLAS, TX 75287-6778
- **Mailing address phone:** (972) 306-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 22398 | TX | Yes |

## Other

- **Enumeration date:** 03/19/2017
- **Last updated:** 03/19/2017