Organization
AVANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP PHAM DDS (OWNER)
(304) 634-9649
Entity
Organization
Contact information
Practice address
909 LEGACY DR # 100, PLANO, TX 75023-8202
(304) 634-9649
Mailing address
4833 MULHOLLAND DR, PLANO, TX 75074-7025
(304) 634-9649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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