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Organization
PACIFIC DENTAL CARE TUAN DI SU DDS PA
Active
Organization
PACIFIC DENTAL CARE TUAN DI SU DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN D SU DDS (DDS)
(972) 567-7450
Entity
Organization
Contact information
Practice address
3043 OLD DENTON RD, SUITE 108, CARROLLTON, TX 75007-5036
(972) 492-5838
Mailing address
3043 OLD DENTON RD, SUITE 108, CARROLLTON, TX 75007-5036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144548802
—
TX
05
—
149824801
—
TX
Enumeration date
01/23/2007
Last updated
08/21/2008
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