Organization
COCONUT DENTAL DUNCANVILLE PLLC
Active
Other names
Coconut Dental
Organization subpart
No
Provider details
NPI number
Authorized official
QUANG T BUI DDS (MANAGER)
(214) 677-6906
Entity
Organization
Contact information
Practice address
1459 ACTON AVE, DUNCANVILLE, TX 75137-3338
(972) 833-4800
Mailing address
PO BOX 519, WYLIE, TX 75098-0519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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