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General NPI Number Information
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NPI Number | 1568870731
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Entity Type | Organization
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Legal Business Name | PLANO DENTISTRY ASSOCIATES, PC
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 1546 STACY RD STE 130
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City | ALLEN
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State | TX
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Zip | 75002-8727
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Country | US
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Telephone | 972-649-6221
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 LORING DR
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City | ALLEN
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State | TX
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Zip | 75013-5840
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Country | US
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Telephone | 832-244-6157
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AN QUOC LE
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Credential | D.D.S.
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Telephone | 832-244-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22204
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License Number State | TX
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