Organization
DENTAL REPUBLIC PLAZA PC
Active
Other names
Dental Republic West Ave
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SON TRAN DDS (PRESIDENT)
(972) 747-1400
Entity
Organization
Contact information
Practice address
11535 WEST AVE, SAN ANTONIO, TX 78213-1343
(210) 780-6000
Mailing address
3211 W NORTHWEST HWY # 100, DALLAS, TX 75220-5944
(972) 747-1400
(214) 242-4455
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2022
Last updated
05/30/2022
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