Organization
CNC-DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUOC VU (D.D.S.)
(972) 306-2121
Entity
Organization
Contact information
Practice address
4043 TRINITY MILLS RD, #101, DALLAS, TX 75287-6778
(972) 306-2121
Mailing address
4043 TRINITY MILLS RD, #101, DALLAS, TX 75287-6778
(972) 306-2121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22398
TX
Other
Enumeration date
03/19/2017
Last updated
03/19/2017
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