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Organization
PARKER DENTAL PA
Active
Organization
PARKER DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAI CHI TRAN DDS (VICE PRESIDENT)
(972) 516-9288
Entity
Organization
Contact information
Practice address
301 W PARKER RD SUITE 210, PLANO, TX 75023
(972) 516-9288
(972) 516-9206
Mailing address
301 W PARKER RD SUITE 210, PLANO, TX 75023
(972) 516-9288
(972) 516-9206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165792601
—
TX
Enumeration date
05/21/2008
Last updated
05/21/2008
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