# ACCESS DENTAL OF HALTOM CITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063603157
- **Authorized official:** DR. TIEN DINH PHAN DMD (OWNER)
- **Authorized official phone:** (408) 835-3726

## Contact information

- **Practice address:** 3101 DENTON HWY, SUITE 100, HALTOM CITY, TX 76117-3706
- **Practice address phone:** (817) 831-6500
- **Mailing address:** 3101 DENTON HWY, SUITE 100, HALTOM CITY, TX 76117-3706
- **Mailing address phone:** (817) 831-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 08/05/2007