| North Richardson Dentistry Associates, Pc | |
|
610 Old Campbell Rd Suite 116 Richardson TX 75080-3379 | |
| (972) 231-2576 | |
| (972) 235-4491 |
| Full Name | North Richardson Dentistry Associates, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 610 Old Campbell Rd, Richardson, Texas |
| Authorized Official Name and Position | An Quoc Le (OWNER) |
| Authorized Official Contact | 9722312576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Richardson Dentistry Associates, Pc 4637 Hedgcoxe Rd Suite 112 Plano TX 75024-3962 Ph: (972) 377-8866 | North Richardson Dentistry Associates, Pc 610 Old Campbell Rd Suite 116 Richardson TX 75080-3379 Ph: (972) 231-2576 |
| NPI Number | 1437553401 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437553401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22204 (Texas) | Primary |
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Jay L. Nutt & C. Fred Pietsch, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 E Belt Line Rd, Suite 103, Richardson, TX 75081 Phone: 972-690-8617 Fax: 972-690-6423 | |
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