Organization
DENSTAR DENTAL I PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINH CAO (SECRETARY)
(972) 783-5711
Entity
Organization
Contact information
Practice address
14075 WATERFALL WAY, DALLAS, TX 75240-3841
(972) 783-5711
Mailing address
14075 WATERFALL WAY, DALLAS, TX 75240-3841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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