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Organization
LT DENTAL PLLC
Active
Organization
LT DENTAL PLLC
Active
Other names
Advance Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NGHI TRAN (MEMBER)
(972) 904-2886
Entity
Organization
Contact information
Practice address
13350 JOSEY LN STE A, FARMERS BRANCH, TX 75234-4960
(972) 241-1934
Mailing address
5814 N JUPITER RD STE 199, GARLAND, TX 75044-3602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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