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Organization
MASONPARK DENTAL PLLC
Active
Organization
MASONPARK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SUNG DMD (OWNER DENTIST)
(617) 444-9497
Entity
Organization
Contact information
Practice address
21830 KINGSLAND BLVD STE 104A, KATY, TX 77450-2500
(281) 578-7100
Mailing address
21830 KINGSLAND BLVD STE 104A, KATY, TX 77450-2500
(281) 578-7100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
10/20/2021
Last updated
11/07/2022
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