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Organization
101 DENTAL PROFESSIONAL CORPORATION
Active
Organization
101 DENTAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FU-TING CHANG DMD (OWNER)
(216) 712-9662
Entity
Organization
Contact information
Practice address
2000 SAM BASS RD STE 108, ROUND ROCK, TX 78681-2001
(737) 220-1800
(737) 220-1818
Mailing address
2000 SAM BASS RD STE 108, ROUND ROCK, TX 78681-2001
(737) 220-1800
(737) 220-1818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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