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Organization
ITOOTH DENTISTRY, PLLC
Active
Organization
ITOOTH DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN BUI D.D.S (PART OWNER)
(214) 924-3160
Entity
Organization
Contact information
Practice address
905 N JUPITER RD, SUITE 180, RICHARDSON, TX 75081-7712
(214) 924-3160
Mailing address
905 N JUPITER RD, SUITE 180, RICHARDSON, TX 75081-7712
(214) 924-3160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25625
TX
1223G0001X
General Practice Dentistry
26251
TX
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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