# NTDS PLANO

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

## Provider details

- **NPI number:** 1588354492
- **Authorized official:** DANIEL CHOI (SOLE OWNER)
- **Authorized official phone:** (696) 268-2544

## Contact information

- **Practice address:** 5949 DALLAS PKWY, PLANO, TX 75093-7813
- **Practice address phone:** (469) 626-8254
- **Practice address fax:** (469) 383-8060
- **Mailing address:** 5980 CHARLESTOWN DR, DALLAS, TX 75230-1706
- **Mailing address phone:** (214) 802-8443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2023
- **Last updated:** 04/02/2024