Organization
ARK DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAN LEE D.D.S. (PRESIDENT)
(214) 320-9444
Entity
Organization
Contact information
Practice address
9777 FERGUSON RD, 101, DALLAS, TX 75228-3838
(214) 320-9444
(214) 320-9555
Mailing address
9777 FERGUSON RD, 101, DALLAS, TX 75228-3838
(214) 320-9444
(214) 320-9555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145819201
—
TX
05
—
145820001
—
TX
01
—
B18012-2
CHIP
TX
Enumeration date
06/06/2012
Last updated
06/06/2012
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