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Organization
LAKEWOOD HILLS DENTAL, PLLC
Active
Organization
LAKEWOOD HILLS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN SU DDS (MANAGER)
(972) 839-2873
Entity
Organization
Contact information
Practice address
4730 WINDHAVEN PKWY STE 120, LEWISVILLE, TX 75056-6703
(469) 294-0292
Mailing address
3043 OLD DENTON RD STE 108, CARROLLTON, TX 75007-5004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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