Lone Republic Dental Corp

NPI #1447749189 in Frisco, Texas

Provider Information

NPI Number: 1447749189
Entity Type: Organization
Organization Name: Lone Republic Dental Corp
Primary Specialty: Dentist - General Practice
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 3535 VICTORY GROUP WAY STE 100
City: Frisco
State: Texas
ZIP Code: 75034-6720
Phone: (972) 827-8337

Authorized Official

Name: DR. HUNG Q LE, DDS
Title: OWNER
Phone: (972) 827-8337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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