Provider Demographics
NPI:1508226390
Name:LONE STAR DENTAL CENTER
Entity Type:Organization
Organization Name:LONE STAR DENTAL CENTER
Other - Org Name:THUY THOMAS TRAN PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THUY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-467-4444
Mailing Address - Street 1:3350 S WATSON RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2803
Mailing Address - Country:US
Mailing Address - Phone:817-467-4444
Mailing Address - Fax:
Practice Address - Street 1:3350 S WATSON RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2803
Practice Address - Country:US
Practice Address - Phone:817-467-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental