Organization
ACCESS DENTAL OF WILLIAM CANNON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEN DINH PHAN DMD (DENTIST)
(817) 531-3500
Entity
Organization
Contact information
Practice address
801 E WILLIAM CANNON DR STE 201, AUSTIN, TX 78745-6671
(512) 717-5353
Mailing address
8150 SPRINGWOOD DR # 150B, IRVING, TX 75063-5810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22334
TX
Other
Enumeration date
01/19/2012
Last updated
11/02/2021
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