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Organization
LOVE DENTAL, P.A.
Active
Organization
LOVE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LY (OWNER)
(214) 357-6377
Entity
Organization
Contact information
Practice address
9429 EL CENTRO DR, SUITE 101, DALLAS, TX 75220-4984
(214) 357-6377
Mailing address
9429 EL CENTRO DR, SUITE 101, DALLAS, TX 75220-4984
(214) 357-6377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152653506
—
TX
05
—
160146001
—
TX
Enumeration date
03/06/2007
Last updated
06/29/2012
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