# ACCESS DENTAL OF MEADOWBROOK

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

## Provider details

- **NPI number:** 1770729386
- **Authorized official:** TIEN DINH PHAN DMD (VP)
- **Authorized official phone:** (214) 678-9200

## Contact information

- **Practice address:** 6302 MEADOWBROOK DR, SUITE \#112, FORT WORTH, TX 76112-5121
- **Practice address phone:** (214) 678-9200
- **Mailing address:** 6302 MEADOWBROOK DR, SUITE \#112, FORT WORTH, TX 76112-5121

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 01/02/2009