| Tcid Pllc | |
|
1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 | |
| (972) 492-0002 | |
| Not Available |
| Full Name | Tcid Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1628 W Hebron Pkwy Ste 108, Carrollton, Texas |
| Authorized Official Name and Position | Insoo Song (DENTIST) |
| Authorized Official Contact | 9724920002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcid Pllc 1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 Ph: (972) 492-0002 | Tcid Pllc 1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 Ph: (972) 492-0002 |
| NPI Number | 1649802984 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649802984 | NPI | - | NPPES |
| 35046 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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