Organization
AQUARIUM DENTAL , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN THANH PHAM D.D.S (CEO)
(281) 568-1270
Entity
Organization
Contact information
Practice address
9404 W SAM HOUSTON PKWY S STE A, HOUSTON, TX 77099-2054
(281) 568-1270
(281) 568-1603
Mailing address
9404 W SAM HOUSTON PKWY S STE A, HOUSTON, TX 77099-2054
(281) 568-1270
(281) 568-1603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21910
TX
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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