Organization
FAIR OAKS DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUYEN ALLISON TRAN D.D.S. (PRESIDENT)
(210) 698-9100
Entity
Organization
Contact information
Practice address
9091 FAIR OAKS PKWY, SUITE 304, FAIR OAKS RANCH, TX 78015
(210) 698-9100
Mailing address
9091 FAIR OAKS PKWY, SUITE 304, FAIR OAKS RANCH, TX 78015
(210) 698-9100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21004
TX
Other
Enumeration date
01/14/2008
Last updated
01/15/2008
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