# IN SPA DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295904142
- **Authorized official:** NHI B LAM DMD (DENTIST)
- **Authorized official phone:** (972) 668-0412

## Contact information

- **Practice address:** 8700 PRESTON RD STE 126, PLANO, TX 75024-3321
- **Practice address phone:** (972) 668-0142
- **Practice address fax:** (972) 668-0143
- **Mailing address:** 8700 PRESTON RD STE 126, PLANO, TX 75024-3321
- **Mailing address phone:** (972) 668-0142
- **Mailing address fax:** (972) 668-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 23128 | TX | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1609096858 | — | TX |