# EL CAMPO DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1437554045
- **Authorized official:** MARY PU (VP OF FINANCE)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 1920 WEST LOOP, EL CAMPO, TX 77437-8007
- **Practice address phone:** (979) 543-5221
- **Practice address fax:** (979) 543-5245
- **Mailing address:** PO BOX 734753, DALLAS, TX 75373-4753

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 09/09/2022