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1184024887
REVIVE DENTAL, PA
IRVING, TX
NPI
1184024887
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Entity Type
Organization
Authorized Contact
YONG HO CHO
President
415-971-4727
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 27280)
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
REVIVE DENTAL, PA
3879 IRVING MALL K-2A
IRVING, TX 75062-5159
Phone number: 214-574-4867
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Mailing Address
REVIVE DENTAL, PA
2728 MCKINNON ST APT 1517
DALLAS, TX 75201-1602
Phone number: 415-971-4727
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