# KATHLEEN H PHAM, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Excel Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366523771
- **Authorized official:** DR. KATHLEEN H PHAM D.M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (972) 434-4300

## Contact information

- **Practice address:** 951 W MAIN ST, SUITE A, LEWISVILLE, TX 75067-3515
- **Practice address phone:** (972) 434-4300
- **Practice address fax:** (972) 360-3294
- **Mailing address:** 951 W MAIN ST, SUITE A, LEWISVILLE, TX 75067-3515
- **Mailing address phone:** (972) 434-4300
- **Mailing address fax:** (972) 360-3294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21912 | TX | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 07/19/2013