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Organization
TARRANT DENTAL GROUP PLLC
Active
Organization
TARRANT DENTAL GROUP PLLC
Active
Other names
Texas Endodontic Center - Tarrant
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW XU DDS (MEMBER MANAGER)
(646) 662-3105
Entity
Organization
Contact information
Practice address
5310 N TARRANT PKWY STE 104, FORT WORTH, TX 76244-5386
(817) 849-9777
(817) 887-2722
Mailing address
5000 LEGACY DR STE 240, PLANO, TX 75024-3112
(646) 662-3105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/20/2022
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