Organization
WAVERLY DENTAL-PLANO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG TANG (MANAGING MEMBER)
(929) 618-7162
Entity
Organization
Contact information
Practice address
6009 W PARKER RD STE 199, PLANO, TX 75093-8131
(929) 618-7162
Mailing address
6009 W PARKER RD STE 199, PLANO, TX 75093-8131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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