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Organization
SH DENTAL PLLC
Active
Organization
SH DENTAL PLLC
Active
Other names
Matlock Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG SONG DDS (OWNER)
(714) 309-2320
Entity
Organization
Contact information
Practice address
740 SW GREEN OAKS BLVD STE 201, ARLINGTON, TX 76017-6257
(714) 309-2320
Mailing address
2433 HUNTERS BLVD, LEWISVILLE, TX 75056-4749
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
29544
TX
Other
Enumeration date
12/26/2017
Last updated
02/08/2018
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