# DUC PHAM DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568751568
- **Authorized official:** DUC X PHAM DDS (DENTIST)
- **Authorized official phone:** (817) 466-1500

## Contact information

- **Practice address:** 3610 S. COOPER ST SUITE112, ARLINGTON, TX 76015
- **Practice address phone:** (817) 466-1500
- **Mailing address:** 3610 S. COOPER ST SUITE112, ARLINGTON, TX 76015
- **Mailing address phone:** (817) 466-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20757 | TX | Yes |

## Other

- **Enumeration date:** 03/31/2011
- **Last updated:** 03/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1595548-01 | — | TX |