# EAST PIONEER DENTAL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750586251
- **Authorized official:** VU VAN NGUYEN (DENTIST)
- **Authorized official phone:** (972) 262-7200

## Contact information

- **Practice address:** 311 E PIONEER PKWY \# D, GRAND PRAIRIE, TX 75051-4942
- **Practice address phone:** (972) 262-7200
- **Mailing address:** 311 E PIONEER PKWY \# D, GRAND PRAIRIE, TX 75051-4942
- **Mailing address phone:** (972) 262-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 21333 | TX | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 08/22/2020