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2141 E Arapaho Rd 140 Richardson TX 75081-3185 | |
(469) 358-1868 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2141 E Arapaho Rd, Richardson, Texas |
Authorized Official Name and Position | Truc Thanh Phan (PRESIDENT) |
Authorized Official Contact | 4693581868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2141 E Arapaho Rd 140 Richardson TX 75081-3185 Ph: (469) 358-1868 | 2141 E Arapaho Rd 140 Richardson TX 75081-3185 Ph: (469) 358-1868 |
NPI Number | 1699011577 |
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Provider Enumeration Date | 12/20/2012 |
Last Update Date | 12/20/2012 |
Identifier | Type | State | Issuer |
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1699011577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 24040 (Texas) | Primary |
Richardson Oral Surgery And Implant Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1070 W Campbell Rd, Suite 200, Richardson, TX 75080 Phone: 972-231-6661 Fax: 972-231-3161 | |
Jay L. Nutt & C. Fred Pietsch, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 E Belt Line Rd, Suite 103, Richardson, TX 75081 Phone: 972-690-8617 Fax: 972-690-6423 | |