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Organization
ACCESS DENTAL OF LA CASA PLLC
Active
Organization
ACCESS DENTAL OF LA CASA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN PHAN DMD (OWNER)
(972) 514-1672
Entity
Organization
Contact information
Practice address
1211 LOOP 11, WICHITA FALLS, TX 76306-6800
(940) 855-3435
(940) 855-3835
Mailing address
8150 SPRINGWOOD DR STE 150B, IRVING, TX 75063-5810
(972) 514-1672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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