# DR - DUNCANVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Republic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295065183
- **Authorized official:** SON TRAN DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (972) 747-1400

## Contact information

- **Practice address:** 406 E CAMP WISDOM RD, DUNCANVILLE, TX 75116-2708
- **Practice address phone:** (972) 780-1100
- **Mailing address:** 2476 WORTHINGTON ST, DALLAS, TX 75204-2503
- **Mailing address phone:** (972) 747-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20960 | TX | Yes |

## Other

- **Enumeration date:** 12/28/2009
- **Last updated:** 04/19/2011