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Organization
LUONG DENTAL LLC
Active
Organization
LUONG DENTAL LLC
Active
Other names
Care Dental SPA
Organization subpart
No
Provider details
NPI number
Authorized official
QUANG LUONG DDS (OWNER)
(254) 773-0055
Entity
Organization
Contact information
Practice address
5297 S 31ST ST STE 111, TEMPLE, TX 76502-3515
(254) 773-0055
Mailing address
5297 S 31ST ST STE 111, TEMPLE, TX 76502-3515
(254) 773-0055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
06/03/2022
Last updated
11/08/2022
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