| Dental Republic | |
|
1015 E Irving Blvd Irving TX 75060-4350 | |
| (972) 747-1400 | |
| Not Available |
| Full Name | Dental Republic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1015 E Irving Blvd, Irving, Texas |
| Authorized Official Name and Position | Son Tran (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9727471400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Republic 2476 Worthington St Dallas TX 75204-2503 Ph: (972) 747-1400 | Dental Republic 1015 E Irving Blvd Irving TX 75060-4350 Ph: (972) 747-1400 |
| NPI Number | 1033436811 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033436811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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