Organization
ADVANCED DENTISTRY: FAMILY-ORTHODONTICS-COSMETICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN DI SU DDS (MANAGER)
(972) 567-7450
Entity
Organization
Contact information
Practice address
4125 FAIRWAY DR, SUITE 135, CARROLLTON, TX 75010-6505
(972) 567-7450
Mailing address
4125 FAIRWAY DR, SUITE 135, CARROLLTON, TX 75010-6505
(972) 567-7450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20476
TX
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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