# HIBISCUS DENTAL PLLC

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

## Provider details

- **NPI number:** 1578383204
- **Authorized official:** CHUN-SUEN LEE (DDS)
- **Authorized official phone:** (972) 352-1504

## Contact information

- **Practice address:** 1614 E BELT LINE RD, CARROLLTON, TX 75006-6309
- **Practice address phone:** (972) 245-7597
- **Mailing address:** 137 CARRINGTON DR, COPPELL, TX 75019-6263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/16/2024