Organization
AFR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA VIKTOROVNA SHULYAK (FRONT DESK WORKER)
(972) 398-0020
Entity
Organization
Contact information
Practice address
5509 PLEASANT VALLEY DR, SUITE 90B, PLANO, TX 75023-5248
(972) 398-0020
(972) 398-0021
Mailing address
5509 PLEASANT VALLEY DR, SUITE 90B, PLANO, TX 75023-5248
(972) 398-0020
(972) 398-0021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21723
TX
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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