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Organization

CPT DENTAL PLLC

Active
Other names
Jupiter Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY TAM DDS (MANAGING MEMBER)
(972) 276-6400
Entity
Organization

Contact information

Practice address
3460 W WALNUT ST STE 600, GARLAND, TX 75042-7118
(972) 276-6400
Mailing address
3460 W WALNUT ST STE 600, GARLAND, TX 75042-7118
(972) 276-6400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
07/24/2017
Last updated
07/21/2022
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