Organization
NEXT LEVEL DENTAL MANAGEMENT, P.C.
Active
Other names
Prime Dental Grand Prairie
Organization subpart
No
Provider details
NPI number
Authorized official
AN QUOC LE (CO-FOUNDER)
(832) 244-6157
Entity
Organization
Contact information
Practice address
2580 W CAMP WISDOM RD STE 300, GRAND PRAIRIE, TX 75052-3091
(972) 522-0784
Mailing address
2221 LORING DR, ALLEN, TX 75013-5840
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22204
TX
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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