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Organization
TEXAS PRIME DENTAL GROUP PC
Active
Organization
TEXAS PRIME DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AN QUOC LE DDS (DENTIST)
(832) 244-6157
Entity
Organization
Contact information
Practice address
4637 HEDGCOXE RD STE 112, PLANO, TX 75024-3963
(972) 377-8866
(972) 649-6223
Mailing address
2221 LORING DR, ALLEN, TX 75013-5840
(832) 244-6157
(972) 848-0281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
03/16/2021
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