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Organization

CONCIERGE COSMETIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUY LE D.D.S (PRESIDENT)
(972) 362-2237
Entity
Organization

Contact information

Practice address
10025 LAKE JUNE RD, DALLAS, TX 75217-3041
(469) 693-2770
Mailing address
10025 LAKE JUNE RD, DALLAS, TX 75217-3041
(972) 362-2237

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023547254
TX
Enumeration date
03/16/2018
Last updated
02/24/2020
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