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Organization
LAMAR DENTAL CENTER
Active
Organization
LAMAR DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUONG NGUYEN D,D,S (OWNER)
(512) 626-7735
Entity
Organization
Contact information
Practice address
9616 N LAMAR BLVD, STE 162, AUSTIN, TX 78753-4152
(512) 836-6385
Mailing address
9616 N LAMAR BLVD, STE 162, AUSTIN, TX 78753-4152
(512) 836-6385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20457
TX
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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