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1073880639
FRESH DENTAL-SHREVEPORT
IRVING, TX
NPI
1073880639
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Entity Type
Organization
Authorized Contact
MARY PU
VP Of Finance
972-869-3789
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
FRESH DENTAL-SHREVEPORT
7301 STATE HIGHWAY 161 STE 198
IRVING, TX 75039-2880
Phone number: 972-869-3789
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Mailing Address
FRESH DENTAL-SHREVEPORT
7301 STATE HIGHWAY 161 STE 198
IRVING, TX 75039-2880
Phone number: 972-869-3789
Copy
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