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Organization
PHANTASTIC FAMILY DENTAL CARE PA
Active
Organization
PHANTASTIC FAMILY DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH PHAN DDS (DENTIST/PRESIDENT)
(713) 330-4138
Entity
Organization
Contact information
Practice address
16 UVALDE RD, F, HOUSTON, TX 77015-1438
(713) 330-4138
(713) 330-4148
Mailing address
16 UVALDE RD, F, HOUSTON, TX 77015-1438
(713) 330-4138
(713) 330-4148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19016
TX
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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