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Organization
GO EHR, LLC
Active
Organization
GO EHR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUONG DO DDS (OWNER)
(817) 966-0648
Entity
Organization
Contact information
Practice address
6861 SEACOAST DR, GRAND PRAIRIE, TX 75054-6828
(817) 966-0648
Mailing address
6861 SEACOAST DR, GRAND PRAIRIE, TX 75054-6828
(817) 966-0648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23837
TX
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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