Organization
CHAMPION ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THINH PHAM DDS (OWNER)
(972) 474-7724
Entity
Organization
Contact information
Practice address
7030 N SHILOH RD UNIT 180, GARLAND, TX 75044-2913
(972) 474-7724
Mailing address
7030 N SHILOH RD UNIT 180, GARLAND, TX 75044-2913
(972) 474-7724
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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