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Organization
PHANTASTIC FAMILY DENTAL CENTER
Active
Organization
PHANTASTIC FAMILY DENTAL CENTER
Active
Other names
Minh Phan D.D.S PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH PHAN D.D.S (PRESIDENT)
(713) 473-3163
Entity
Organization
Contact information
Practice address
720 PASADENA BLVD, PASADENA, TX 77506-5334
(713) 473-3163
Mailing address
720 PASADENA BLVD, PASADENA, TX 77506-5334
(713) 473-3163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19016
TX
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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