| Itooth Dentistry, Pllc | |
|
905 N Jupiter Rd Suite 180 Richardson TX 75081-7712 | |
| (214) 924-3160 | |
| Not Available |
| Full Name | Itooth Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 905 N Jupiter Rd, Richardson, Texas |
| Authorized Official Name and Position | Shawn Bui (PART OWNER) |
| Authorized Official Contact | 2149243160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itooth Dentistry, Pllc 905 N Jupiter Rd Suite 180 Richardson TX 75081-7712 Ph: (214) 924-3160 | Itooth Dentistry, Pllc 905 N Jupiter Rd Suite 180 Richardson TX 75081-7712 Ph: (214) 924-3160 |
| NPI Number | 1730441692 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730441692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25625 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 26251 (Texas) | Secondary |
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