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Organization
MY T DENTAL
Active
Organization
MY T DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY XUAN TRAN (DENTIST)
(832) 677-3930
Entity
Organization
Contact information
Practice address
1150 W KIEST BLVD STE 200D, DALLAS, TX 75224-3231
(832) 677-3930
Mailing address
PO BOX 763639, DALLAS, TX 75376-3639
(832) 677-3930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23909
TX
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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