Individual
DR. CHI MBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8620 SKILLMAN ST, DALLAS, TX 75243-8216
(214) 341-0900
Mailing address
610 PINE VLY, RICHARDSON, TX 75081-5138
(713) 213-2658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30951
TX
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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