Organization
ECO DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN QUANG TRAN DDS (MANAGER)
(979) 316-2973
Entity
Organization
Contact information
Practice address
210 LAKE RD, STE 800 A, LAKE JACKSON, TX 77566
(979) 316-2973
Mailing address
212 ARROWHEAD DR, LAKE JACKSON, TX 77566-4580
(248) 210-9455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27364
TX
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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