Organization
DENTAL AVENUE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SOO D.D.S. (PRESIDENT)
(214) 703-0044
Entity
Organization
Contact information
Practice address
300 S COTTONWOOD DR, SUITE #F, RICHARDSON, TX 75080-5751
(214) 703-0044
(214) 703-0691
Mailing address
300 S COTTONWOOD DR, SUITE #F, RICHARDSON, TX 75080-5751
(214) 703-0044
(214) 703-0691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702086
—
TX
Enumeration date
09/20/2006
Last updated
01/11/2017
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