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Organization
MOBILE GENTLE DENTISTRY PLLC
Active
Organization
MOBILE GENTLE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN LEON VO DDS (OWNER)
(214) 519-8427
Entity
Organization
Contact information
Practice address
820 S MACARTHUR BLVD, 105-363, COPPELL, TX 75019-4216
(214) 519-8427
Mailing address
820 S MACARTHUR BLVD, 105-363, COPPELL, TX 75019-4216
(214) 519-8427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184801206
—
TX
Enumeration date
09/22/2010
Last updated
09/22/2010
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