Republic Dental - Pleasanton Pllc

NPI #1730538562 in Carrollton, Texas

Provider Information

NPI Number
1730538562
Entity Type
Organization
Organization Name
Republic Dental - Pleasanton Pllc
Primary Specialty
Dentist
Enumeration Date
Jun 13, 2016
Last Updated
Jun 13, 2016

Practice Location

Address
2403 LACY LN
State
Texas
ZIP Code
75006-6514
Phone
(972) 869-3789

Authorized Official

Name
MARY PU
Title
VP OF FINANCE
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist

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