# ACCESS DENTAL OF LA CASA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770185480
- **Authorized official:** DR. TIEN PHAN DMD (OWNER)
- **Authorized official phone:** (972) 514-1672

## Contact information

- **Practice address:** 1211 LOOP 11, WICHITA FALLS, TX 76306-6800
- **Practice address phone:** (940) 855-3435
- **Practice address fax:** (940) 855-3835
- **Mailing address:** 8150 SPRINGWOOD DR STE 150B, IRVING, TX 75063-5810
- **Mailing address phone:** (972) 514-1672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 11/09/2020