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Organization
P DENTAL CENTER LC
Active
Organization
P DENTAL CENTER LC
Active
Other names
P Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN D SU DDS (MANAGER)
(972) 567-7450
Entity
Organization
Contact information
Practice address
3043 OLD DENTON RD STE 110, CARROLLTON, TX 75007-5036
(972) 492-5838
Mailing address
3043 OLD DENTON RD STE 110, CARROLLTON, TX 75007-5036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20476
TX
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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