Organization
EXCEL DENTAL CLINIC OF GARLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN TU HUYNH DDS (MANAGING DENTIST)
(214) 375-9999
Entity
Organization
Contact information
Practice address
1815 S 1ST ST STE H, GARLAND, TX 75040-8441
(972) 271-4500
(972) 271-4511
Mailing address
4709 RAVENDALE DR, RICHARDSON, TX 75082
(972) 231-6382
(972) 271-4511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19841
TX
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171805801
—
TX
Enumeration date
08/20/2006
Last updated
10/21/2022
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