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Organization
MAX DENTAL CARE PA
Active
Organization
MAX DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY D PHAM (DDS)
(214) 500-3608
Entity
Organization
Contact information
Practice address
5003 E LANCASTER AVE, FORT WORTH, TX 76103-3833
(817) 413-6666
Mailing address
5003 E LANCASTER AVE, FORT WORTH, TX 76103-3833
(817) 413-6666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24588
TX
Other
Enumeration date
03/28/2011
Last updated
03/30/2011
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