# KP DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAGIC DENTAL TWO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760728489
- **Authorized official:** DR. KEVIN VU PHAN DDS (PRESIDENT)
- **Authorized official phone:** (832) 659-5623

## Contact information

- **Practice address:** 6052 N FRY RD, SUITE G, KATY, TX 77449-1882
- **Practice address phone:** (832) 659-5623
- **Mailing address:** 6052 N FRY RD, SUITE G, KATY, TX 77449-1882
- **Mailing address phone:** (832) 659-5623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24836 | TX | Yes |

## Other

- **Enumeration date:** 12/28/2012
- **Last updated:** 12/29/2012