# AEGEAN LAN PHAMNGUYEN P. A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aegean Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912325630
- **Authorized official:** DR. AEGEAN LAN PHAMNGUYEN D.D.S. (PRESIDENT/CEO)
- **Authorized official phone:** (832) 465-2381

## Contact information

- **Practice address:** 5655 BEECHNUT ST, SUITE \#17, HOUSTON, TX 77096-1021
- **Practice address phone:** (832) 465-2381
- **Mailing address:** 5655 BEECHNUT ST, SUITE \#17, HOUSTON, TX 77096-1021
- **Mailing address phone:** (832) 465-2381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 27117 | TX | Yes |

## Other

- **Enumeration date:** 03/31/2014
- **Last updated:** 03/31/2014