Organization
GREAT SOUTHWEST FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS TRUONG DDS (OWNER)
(972) 660-8457
Entity
Organization
Contact information
Practice address
2501 W I 20 STE 100, GRAND PRAIRIE, TX 75052-3948
(972) 660-8457
(972) 660-8459
Mailing address
2501 WEST I-20 SUITE 100, GRAND PRAIRIE, TX 75052
(972) 660-8457
(972) 660-8459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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