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Organization
TEXAS DENTAL HOMES PLLC
Active
Organization
TEXAS DENTAL HOMES PLLC
Active
Other names
Brush Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KUAN DDS (OWNER)
(925) 324-4152
Entity
Organization
Contact information
Practice address
125 W INTERSTATE 30, SUITE 109, ROYSE CITY, TX 75189-7512
(925) 324-4152
Mailing address
125 WEST INTERSTATE 30, SUITE 109, ROYSE CITY, TX 75189
(925) 324-4152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25870
TX
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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