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Organization
ACCESS DENTAL OF ED BLUESTEIN PA
Active
Organization
ACCESS DENTAL OF ED BLUESTEIN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN DINH PHAN DMD (DENTIST)
(817) 531-3500
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD, SUITE #132, AUSTIN, TX 78723
(817) 531-3500
Mailing address
7112 ED BLUESTEIN BLVD, SUITE #132, AUSTIN, TX 78723
(817) 531-3500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22334
TX
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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