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Organization
EXCEL DENTAL CLINIC OF GARLAND PA
Active
Organization
EXCEL DENTAL CLINIC OF GARLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN TU HUYNH DDS (MANAGING DENTIST)
(214) 375-9999
Entity
Organization
Contact information
Practice address
1815 S 1ST ST STE H, GARLAND, TX 75040-8441
(972) 271-4500
(972) 271-4511
Mailing address
4709 RAVENDALE DR, RICHARDSON, TX 75082
(972) 231-6382
(972) 271-4511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19841
TX
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171805801
—
TX
Enumeration date
08/20/2006
Last updated
10/21/2022
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