Organization
CENTRA TWO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIEP DUY PHAM DDS (OWNER)
(281) 485-7767
Entity
Organization
Contact information
Practice address
5103 BROADWAY ST, 109, PEARLAND, TX 77581-3900
(281) 485-7767
(281) 485-7745
Mailing address
5103 BROADWAY ST, 109, PEARLAND, TX 77581-3900
(281) 485-7767
(281) 485-7745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19860
TX
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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