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Organization
DFW CROWN DENTAL OF SOUTH LANCASTER PC
Active
Organization
DFW CROWN DENTAL OF SOUTH LANCASTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TU KIM NGUYEN DDS (PRESIDENT)
(817) 793-8102
Entity
Organization
Contact information
Practice address
2729 S LANCASTER RD, DALLAS, TX 75216-3114
(214) 371-3131
(214) 371-3140
Mailing address
5319 RIVER LAKE WAY, GRAND PRAIRIE, TX 75052-0713
(817) 793-8102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24534
TX
Other
Enumeration date
05/28/2010
Last updated
08/20/2010
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