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1093000804
FRESH DENTAL PLLC
TYLER, TX
NPI
1093000804
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Doing Business As
FRESH DENTAL & ORTHODONTICS
Entity Type
Organization
Authorized Contact
MARY PU
CFO
972-869-3789
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2011-06-09
Last Update Date
2023-04-25
Business Address
FRESH DENTAL PLLC
3873 HWY 64 W
TYLER, TX 75704-6925
Phone number: 972-869-3789
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Mailing Address
FRESH DENTAL PLLC
PO BOX 734753
DALLAS, TX 75373-4753
Phone number: 972-869-3789
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