Organization
DFW CROWN DENTAL OF SOUTH LANCASTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TU KIM NGUYEN DDS (PRESIDENT)
(817) 793-8102
Entity
Organization
Contact information
Practice address
2729 S LANCASTER RD, DALLAS, TX 75216-3114
(214) 371-3131
(214) 371-3140
Mailing address
5319 RIVER LAKE WAY, GRAND PRAIRIE, TX 75052-0713
(817) 793-8102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24534
TX
Other
Enumeration date
05/28/2010
Last updated
08/20/2010
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