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Organization

SPROUT DENTISTRY FOR KIDS FRISCO, PLLC

Active
Other names
Sheer Smiles Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN CHAN DDS (CO-OWNER)
(972) 987-0787
Entity
Organization

Contact information

Practice address
2626 STONEBROOK PKWY STE 200, FRISCO, TX 75034-1393
(972) 987-0787
Mailing address
2626 STONEBROOK PKWY STE 200, FRISCO, TX 75034-1393
(972) 987-0787

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
07/04/2024
Last updated
07/28/2024
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