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Organization

KP DDS PLLC

Active
Other names
MAGIC DENTAL TWO
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN VU PHAN DDS (PRESIDENT)
(832) 659-5623
Entity
Organization

Contact information

Practice address
6052 N FRY RD, SUITE G, KATY, TX 77449-1882
(832) 659-5623
Mailing address
6052 N FRY RD, SUITE G, KATY, TX 77449-1882
(832) 659-5623

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24836
TX

Other

Enumeration date
12/28/2012
Last updated
12/29/2012
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