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Organization
LONE STAR DENTISTRY CLINIC PC
Active
Organization
LONE STAR DENTISTRY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO TRAN QUACH DDS (OWNER)
(214) 941-4455
Entity
Organization
Contact information
Practice address
312 S BECKLEY AVE, DALLAS, TX 75203-2614
(214) 941-4455
(214) 941-4464
Mailing address
312 S BECKLEY AVE, DALLAS, TX 75203-2614
(214) 941-4455
(214) 941-4464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23903
TX
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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