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Organization
TK DENTAL PLLC
Active
Organization
TK DENTAL PLLC
Active
Other names
Vida Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR LARA (MANAGER)
(469) 309-1670
Entity
Organization
Contact information
Practice address
1101 W CENTERVILLE RD STE 200, GARLAND, TX 75041-5917
(469) 309-1670
Mailing address
2403 HUNTERSRIDGE DR, IRVING, TX 75063-5697
(469) 309-1670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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