Organization
ANEW DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINH THU PHAM D.D.S. (PRESIDENT, ANEW DENTAL PC)
(940) 565-5049
Entity
Organization
Contact information
Practice address
1601 BRINKER RD, UNIT 111, DENTON, TX 76208
(940) 565-5049
(940) 566-6587
Mailing address
1601 BRINKER RD, UNIT 111, DENTON, TX 76208
(940) 565-5049
(940) 566-6587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189844721
—
TX
Enumeration date
02/01/2012
Last updated
02/01/2012
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