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Organization
PHAN DENTAL GROUP,PLLC
Active
Organization
PHAN DENTAL GROUP,PLLC
Active
Other names
Magic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PHAN (DDS)
(281) 232-1421
Entity
Organization
Contact information
Practice address
5530 W GRAND PKWY S STE 100, RICHMOND, TX 77406-5807
(281) 232-1421
(281) 232-1425
Mailing address
5530 W. GRAND PARKWAY S, SUITE 100, RICHMOND, TX 77406
(281) 232-1421
(281) 232-1425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22313
TX
Other
Enumeration date
10/24/2014
Last updated
10/29/2014
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