Organization
ACCESS DENTAL OF LA CASA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN PHAN DMD (OWNER)
(972) 514-1672
Entity
Organization
Contact information
Practice address
1211 LOOP 11, WICHITA FALLS, TX 76306-6800
(940) 855-3435
(940) 855-3835
Mailing address
8150 SPRINGWOOD DR STE 150B, IRVING, TX 75063-5810
(972) 514-1672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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