| Excel Dental Clinic Of Lancaster, Pc | |
|
3200 S Lancaster Rd Ste 183 Dallas TX 75216-4555 | |
| (214) 375-9999 | |
| (214) 375-9997 |
| Full Name | Excel Dental Clinic Of Lancaster, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3200 S Lancaster Rd Ste 183, Dallas, Texas |
| Authorized Official Name and Position | Quyen Tu Huynh (PRESIDENT) |
| Authorized Official Contact | 4696559941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Dental Clinic Of Lancaster, Pc 4709 Ravendale Dr Richardson TX 75082-3838 Ph: (469) 655-5221 | Excel Dental Clinic Of Lancaster, Pc 3200 S Lancaster Rd Ste 183 Dallas TX 75216-4555 Ph: (214) 375-9999 |
| NPI Number | 1043531841 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043531841 | NPI | - | NPPES |
| 212165901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24546 (Texas) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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