Provider Demographics
NPI:1386103703
Name:PLANO ULTIMATE CARE, PLLC
Entity type:Organization
Organization Name:PLANO ULTIMATE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-422-2927
Mailing Address - Street 1:910 W PARKER RD STE 370
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2382
Mailing Address - Country:US
Mailing Address - Phone:972-422-2927
Mailing Address - Fax:
Practice Address - Street 1:910 W PARKER RD STE 370
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2382
Practice Address - Country:US
Practice Address - Phone:972-422-2927
Practice Address - Fax:972-423-2128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty