Individual
ANDREW PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12168 BELLAIRE BLVD STE 100, HOUSTON, TX 77072-2642
(281) 400-1111
Mailing address
2900 N BRAESWOOD BLVD APT 3308, HOUSTON, TX 77025-2372
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33988
TX
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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