Organization
FAMILY DENTAL OF MCKINNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE THAMMASITHIBOON DDS. (OWENER)
(469) 742-0793
Entity
Organization
Contact information
Practice address
1321 N. TENNESSEE ST., STE.108, MCKINNEY, TX 75069
(469) 742-0793
(469) 742-9937
Mailing address
1321 N TENNESSEE ST, STE.108, MCKINNEY, TX 75069-2142
(469) 742-0793
(469) 742-9937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25969
TX
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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