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Organization
PREMIUM DENTAL
Active
Organization
PREMIUM DENTAL
Active
Other names
Denton Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TRAN D.D.S (CO-OWNER)
(512) 689-4587
Entity
Organization
Contact information
Practice address
721 I-35 E SOUTH, SUITE #206, DENTON, TX 76205-3918
(512) 689-4587
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22717
TX
Other
Enumeration date
03/02/2009
Last updated
12/21/2022
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