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Organization

DAYLIGHT DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEEAHNA PHAN D.M.D. (DENTIST)
(512) 832-6840
Entity
Organization

Contact information

Practice address
6501 SOUTH CONGRESS AVE., SUITE 201, AUSTIN, TX 78745
(512) 832-6840
(512) 782-8746
Mailing address
PO BOX 82727, AUSTIN, TX 78708-2727
(512) 832-6840
(512) 782-8746

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27164
TX

Other

Enumeration date
04/13/2015
Last updated
04/13/2015
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