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Organization
TRUC PHAN, DDS, PC
Active
Organization
TRUC PHAN, DDS, PC
Active
Other names
evercare dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUC THANH PHAN DDS (PRESIDENT)
(469) 358-1868
Entity
Organization
Contact information
Practice address
2141 E ARAPAHO RD, 140, RICHARDSON, TX 75081-3185
(469) 358-1868
Mailing address
2141 E ARAPAHO RD, 140, RICHARDSON, TX 75081-3185
(469) 358-1868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24040
TX
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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