| Texas Star Dental, P.a. | |
|
435 Bruton Terrace Ctr Dallas TX 75227-8376 | |
| (214) 275-9090 | |
| (214) 275-9191 |
| Full Name | Texas Star Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 435 Bruton Terrace Ctr, Dallas, Texas |
| Authorized Official Name and Position | Dana Ly (PRESIDENT) |
| Authorized Official Contact | 2142759090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Star Dental, P.a. 435 Bruton Terrace Ctr Dallas TX 75227-8376 Ph: (214) 275-9090 | Texas Star Dental, P.a. 435 Bruton Terrace Ctr Dallas TX 75227-8376 Ph: (214) 275-9090 |
| NPI Number | 1922149392 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922149392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21049 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 21399 (Texas) | Secondary |
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