# FRISCO ELM DENTAL PLLC

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

## Provider details

- **NPI number:** 1437524451
- **Authorized official:** VIDYA S SURI DDS (DENTIST/OWNER)
- **Authorized official phone:** (214) 703-6900

## Contact information

- **Practice address:** 2043 FM 423 STE 100, LITTLE ELM, TX 75068
- **Practice address phone:** (214) 705-7100
- **Mailing address:** 663 CREEKWAY DR, IRVING, TX 75039
- **Mailing address phone:** (650) 793-6821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24367 | TX | Yes |

## Other

- **Enumeration date:** 12/02/2015
- **Last updated:** 05/09/2017
