Penn Dental Partners PLLC
Dentist in Grand Prairie, TX. Organization (NPI-2).
NPI number1669942835
StatusActive
Last updated in NPPESNov 30, 2018
Details
- NPI
- 1669942835
- Entity type
- Organization (NPI-2)
- Legal business name
- Penn Dental Partners PLLC
- Organization subpart
- No
- Enumeration date
- Nov 30, 2018
- Last updated
- Nov 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Leaf Family Dentistry (Doing Business As)
Practice location
800 S Center StGrand Prairie, TX 75051-1815
Phone 972-264-1662 · Fax 972-264-8677
Mailing address
800 S Center StGrand Prairie, TX 75051-1815
Phone 972-264-1662 · Fax 972-264-8677
Authorized official
Hyunsik Sung
Dentist
9722641662
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