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Organization

GREAT EXPRESSION SMILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRI H PHAM DDS (DOCTOR)
(817) 496-2343
Entity
Organization

Contact information

Practice address
6426 MEADOWBROOK DR, FORT WORTH, TX 76112-5123
(817) 496-2343
(817) 665-3822
Mailing address
6426 MEADOWBROOK DR, FORT WORTH, TX 76112-5123
(817) 496-2343
(817) 665-3822

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24570
TX

Other

Enumeration date
05/07/2015
Last updated
05/07/2015
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