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Organization
TEXAS SAAS PA
Active
Organization
TEXAS SAAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP)
(817) 675-8753
Entity
Organization
Contact information
Practice address
3839 MCKINNEY AVE STE 130, DALLAS, TX 75204-1489
(972) 808-7676
Mailing address
PO BOX 196107, DALLAS, TX 75219-8621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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