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Organization
HIEU T PHAN PC
Active
Organization
HIEU T PHAN PC
Active
Other names
pioneer dental
Organization subpart
No
Provider details
NPI number
Authorized official
HIEU TAN PHAN DDS (PRESIDENT)
(972) 870-5282
Entity
Organization
Contact information
Practice address
1100 W PIONEER DR, IRVING, TX 75061-7213
(972) 870-5282
Mailing address
1100 W PIONEER DR, IRVING, TX 75061-7213
(972) 870-5282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23356
TX
Other
Enumeration date
01/10/2010
Last updated
07/19/2011
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