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Organization
EPIC DENTAL ASSOCIATES
Active
Organization
EPIC DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN C PHAM DDS (OWNER)
(713) 365-9904
Entity
Organization
Contact information
Practice address
8800 KATY FRWY, SUITE 280, HOUSTON, TX 77024
(713) 365-9904
(713) 365-9781
Mailing address
8800 KATY FRWY, SUITE 280, HOUSTON, TX 77024
(713) 365-9904
(713) 365-9781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18800
TX
1223G0001X
General Practice Dentistry
16112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009376702
—
TX
05
—
090774314
—
TX
Enumeration date
05/22/2008
Last updated
05/22/2008
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