Organization
DYNASTY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET DIEM TRAN DDS (PRESIDENT)
(214) 547-8628
Entity
Organization
Contact information
Practice address
717 S GREENVILLE AVE, #114, ALLEN, TX 75002-3317
(214) 547-8628
(214) 547-8675
Mailing address
717 S GREENVILLE AVE, #114, ALLEN, TX 75002-3317
(214) 547-8628
(214) 547-8675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148653204
—
TX
Enumeration date
11/01/2011
Last updated
11/01/2011
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