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Organization
VMAX DENTAL
Active
Organization
VMAX DENTAL
Active
Other names
Prosper Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RUSSELL CHANDLER DDS, FAGD (DENTIST)
(817) 681-4580
Entity
Organization
Contact information
Practice address
110 N PRESTON RD, SUITE 10, PROSPER, TX 75078-8643
(972) 346-2080
(972) 346-3551
Mailing address
110 N PRESTON RD, SUITE 10, PROSPER, TX 75078-8643
(972) 346-2080
(972) 346-3551
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
20894
TX
1223G0001X
General Practice Dentistry
Primary
21656
TX
1223P0300X
Periodontics
21239
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
18320
TX
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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