| Pacific Dental Center Llc | |
|
3043 Old Denton Rd 108 Carrollton TX 75007-5036 | |
| (972) 567-7450 | |
| Not Available |
| Full Name | Pacific Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3043 Old Denton Rd, Carrollton, Texas |
| Authorized Official Name and Position | Tuan D Su (MEMBER) |
| Authorized Official Contact | 9725677450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental Center Llc 3043 Old Denton Rd 108 Carrollton TX 75007-5036 Ph: () - | Pacific Dental Center Llc 3043 Old Denton Rd 108 Carrollton TX 75007-5036 Ph: (972) 567-7450 |
| NPI Number | 1598918955 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598918955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 020476 (Texas) | Primary |
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