Individual
DR. MICHAEL PHAM DING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
1785 E. WHITESTONE BLVD, SUITE 100, CEDAR PARK, TX 78613-5635
(512) 258-3764
(512) 258-6348
Mailing address
P.O. BOX 49500, AUSTIN, TX 78765-9500
(512) 454-1220
(512) 467-0363
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21819
TX
Other
Enumeration date
10/18/2007
Last updated
09/25/2014
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