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Organization
SHANNON PHAM & ASSOCIATES, DDS, PLLC
Active
Organization
SHANNON PHAM & ASSOCIATES, DDS, PLLC
Active
Other names
Emmy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON QUYNH PHAM DDS (MANAGER)
(281) 789-8644
Entity
Organization
Contact information
Practice address
20503 FM 529 RD, SUITE 500, CYPRESS, TX 77433-3297
(281) 789-8644
Mailing address
11611 CARSON FIELD LN, CYPRESS, TX 77433-2845
(832) 273-5361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130130
—
TX
Enumeration date
04/09/2016
Last updated
04/09/2016
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