Organization
FRISCO ELM DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA S SURI DDS (DENTIST/OWNER)
(214) 703-6900
Entity
Organization
Contact information
Practice address
2043 FM 423 STE 100, LITTLE ELM, TX 75068
(214) 705-7100
Mailing address
663 CREEKWAY DR, IRVING, TX 75039
(650) 793-6821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24367
TX
Other
Enumeration date
12/02/2015
Last updated
05/09/2017
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