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Organization
ROYAL LANE DENTAL CENTER PLLC
Active
Organization
ROYAL LANE DENTAL CENTER PLLC
Active
Other names
Royal Lane Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANG PARK DDS (MANAGING MEMBER)
(469) 904-2080
Entity
Organization
Contact information
Practice address
8499 GREENVILLE AVE STE 210, DALLAS, TX 75231-2412
(614) 530-1189
Mailing address
8499 GREENVILLE AVE, 210, DALLAS, TX 75231-2413
(469) 904-2080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
12/12/2017
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