# ANDREW CHA DETISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396984092
- **Authorized official:** DR. ANDREW H CHA DDS (OWNER)
- **Authorized official phone:** (972) 620-2875

## Contact information

- **Practice address:** 2560 ROYAL LN, \#114, DALLAS, TX 75229-3452
- **Practice address phone:** (972) 620-2875
- **Practice address fax:** (972) 620-7207
- **Mailing address:** 2560 ROYAL LN, \#114, DALLAS, TX 75229-3452
- **Mailing address phone:** (972) 620-2875
- **Mailing address fax:** (972) 620-7207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | TX 16955 | TX | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009