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Organization
NORTHWEST DENTAL ASSOCIATES P.A.
Active
Organization
NORTHWEST DENTAL ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOAI C. PHAM D.D.S. (DOCTOR/OWNER)
(512) 219-7484
Entity
Organization
Contact information
Practice address
11066 PECAN PARK BLVD., SUITE #411, CEDAR PARK, TX 78613
(512) 219-7484
(512) 219-6505
Mailing address
11066 PECAN PARK BLVD., SUITE #411, CEDAR PARK, TX 78613
(512) 219-7484
(512) 219-6505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18096
TX
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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