Organization
COCONUT DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANG BUI DDS (DENTIST)
(720) 630-9378
Entity
Organization
Contact information
Practice address
6600 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3303
(817) 457-4141
Mailing address
7103 PARKWOOD DR, SACHSE, TX 75048-1918
(214) 677-6960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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