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Organization
HEALTHY SMILE DENTAL, PA
Active
Organization
HEALTHY SMILE DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANHHANG THI PHAN DDS (PRESIDENT OF HEALTHY SMILE DENTAL)
(832) 330-0324
Entity
Organization
Contact information
Practice address
20300 FRANZ RD, SUITE #1, KATY, TX 77449-5600
(832) 321-4210
(832) 321-4392
Mailing address
20300 FRANZ RD STE 1, KATY, TX 77449-5600
(832) 321-4210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22365
TX
Other
Enumeration date
03/19/2012
Last updated
05/11/2012
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