Organization
ACCESS DENTAL OF MEADOWBROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEN DINH PHAN DMD (VP)
(214) 678-9200
Entity
Organization
Contact information
Practice address
6302 MEADOWBROOK DR, SUITE #112, FORT WORTH, TX 76112-5121
(214) 678-9200
Mailing address
6302 MEADOWBROOK DR, SUITE #112, FORT WORTH, TX 76112-5121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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