Organization
CT DENTAL PLLC
Active
Other names
Custerpoint Kids & Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY TAM DDS (MANAGING PARTNER)
(972) 265-9033
Entity
Organization
Contact information
Practice address
3000 CUSTER RD STE 325, PLANO, TX 75075-4405
(972) 265-9033
Mailing address
PO BOX 1715, ALLEN, TX 75013-0030
(469) 233-4148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/20/2022
Last updated
05/31/2022
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