Organization
EXCEL DENTAL CLINIC OF LANCASTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN TU HUYNH DDS (PRESIDENT)
(469) 655-9941
Entity
Organization
Contact information
Practice address
3200 S LANCASTER RD STE 183, DALLAS, TX 75216-4555
(214) 375-9999
(214) 375-9997
Mailing address
4709 RAVENDALE DR, RICHARDSON, TX 75082-3838
(469) 655-5221
(214) 375-9997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24546
TX
122300000X
Dentist
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212165901
—
TX
Enumeration date
06/15/2010
Last updated
10/21/2022
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