Individual
ALAN LEWIS TOPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4500 S. LANCASTER RD., VA NORTH TEXAS HEALTH CARE DENTAL SERVICE (160), DALLAS, TX 75216
(214) 857-1082
Mailing address
940 FOXWOOD DR, DESOTO, TX 75115-4722
(469) 297-4618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26061
TEXAS BOARD OF DENTAL EXAMINERS
TX
Enumeration date
10/25/2010
Last updated
10/25/2010
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