Organization
DR - DUNCANVILLE, LLC
Active
Other names
Dental Republic
Organization subpart
No
Provider details
NPI number
Authorized official
SON TRAN DDS (PRESIDENT/DENTIST)
(972) 747-1400
Entity
Organization
Contact information
Practice address
406 E CAMP WISDOM RD, DUNCANVILLE, TX 75116-2708
(972) 780-1100
Mailing address
2476 WORTHINGTON ST, DALLAS, TX 75204-2503
(972) 747-1400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20960
TX
Other
Enumeration date
12/28/2009
Last updated
04/19/2011
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