| N/a | |
|
9625 Plano Road 100 Dallas TX 75238 | |
| (408) 390-1384 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9625 Plano Road, Dallas, Texas |
| Authorized Official Name and Position | Manh Chi Truong (GENERAL DENTIST PROVIDER/PRESIDENT) |
| Authorized Official Contact | 4083901384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 9625 Plano Road 100 Dallas TX 75238 Ph: (408) 390-1384 | N/a 9625 Plano Road 100 Dallas TX 75238 Ph: (408) 390-1384 |
| NPI Number | 1316257710 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316257710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23516 (Texas) | Primary |
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