Organization
LA COSTA DENTAL OF AYERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIEN DINH PHAN DMD (DENTIST)
(817) 531-3500
Entity
Organization
Contact information
Practice address
4224 AYERS ST, CORPUS CHRISTI, TX 78415-5317
(817) 531-3500
Mailing address
8150 SPRINGWOOD DR # 150B, IRVING, TX 75063-5810
(956) 507-7253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22334
TX
Other
Enumeration date
04/02/2014
Last updated
12/29/2025
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