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Organization
THAI DENTAL CLINIC
Active
Organization
THAI DENTAL CLINIC
Active
Other names
Firewheel Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UYEN PHUONG THAI DDS (PRESIDENT)
(972) 276-5025
Entity
Organization
Contact information
Practice address
3465 W WALNUT ST, SUITE #209, GARLAND, TX 75042-7153
(972) 276-5025
(972) 487-0656
Mailing address
3465 W WALNUT ST, SUITE #209, GARLAND, TX 75042-7153
(972) 276-5025
(972) 487-0656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18187
TX
1223P0700X
Prosthodontics
18159
TX
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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