Organization
DUC PHAM DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUC X PHAM DDS (DENTIST)
(817) 466-1500
Entity
Organization
Contact information
Practice address
3610 S. COOPER ST SUITE112, ARLINGTON, TX 76015
(817) 466-1500
Mailing address
3610 S. COOPER ST SUITE112, ARLINGTON, TX 76015
(817) 466-1500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1595548-01
—
TX
Enumeration date
03/31/2011
Last updated
03/31/2011
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