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Organization
SIMPLY GOOD DENTAL, P.L.L.C.
Active
Organization
SIMPLY GOOD DENTAL, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PINTIP CHARUNMETHEE D.D.S., M.S. (MANAGER)
(972) 867-7883
Entity
Organization
Contact information
Practice address
4160 W SPRING CREEK PKWY, A-300, PLANO, TX 75024-5316
(972) 867-7883
Mailing address
PO BOX 662, BEDFORD, TX 76095-0662
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20795
TX
Other
Enumeration date
08/14/2011
Last updated
08/14/2011
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