| Pacific Dental Care Tuan Di Su Dds Pa | |
|
3043 Old Denton Rd Suite 108 Carrollton TX 75007-5036 | |
| (972) 492-5838 | |
| Not Available |
| Full Name | Pacific Dental Care Tuan Di Su Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3043 Old Denton Rd, Carrollton, Texas |
| Authorized Official Name and Position | Tuan D Su (DDS) |
| Authorized Official Contact | 9725677450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental Care Tuan Di Su Dds Pa 3043 Old Denton Rd Suite 108 Carrollton TX 75007-5036 Ph: () - | Pacific Dental Care Tuan Di Su Dds Pa 3043 Old Denton Rd Suite 108 Carrollton TX 75007-5036 Ph: (972) 492-5838 |
| NPI Number | 1275687212 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275687212 | NPI | - | NPPES |
| 144548802 | Medicaid | TX | |
| 149824801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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