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Organization
MC DENTAL LLC
Active
Organization
MC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CHUNG (PRESIDENT- WALMART HEALTH DENTAL)
(707) 675-5546
Entity
Organization
Contact information
Practice address
3615 CHARLES HARDY PKWY STE 200, DALLAS, GA 30157-9472
(770) 767-5546
(770) 505-5206
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-1258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
12/07/2021
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