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Organization
TROPHY DENTAL OF PLANO, P.A.
Active
Organization
TROPHY DENTAL OF PLANO, P.A.
Active
Other names
Trophy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NGOCDIEP (DEBBIE) NGUYEN SUDBROOK DDS (OWNER)
(972) 422-5020
Entity
Organization
Contact information
Practice address
1101 JUPITER ROAD, PLANO, TX 75074
(972) 422-5020
(972) 578-6049
Mailing address
1101 JUPITER ROAD, PLANO, TX 75074
(972) 422-5020
(972) 578-6049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18139
TX
1223G0001X
General Practice Dentistry
Primary
18141
TX
Other
Enumeration date
10/31/2006
Last updated
10/25/2011
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