Organization
ACCESS DENTAL OF ED BLUESTEIN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN DINH PHAN DMD (DENTIST)
(817) 531-3500
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD, SUITE #132, AUSTIN, TX 78723
(817) 531-3500
Mailing address
7112 ED BLUESTEIN BLVD, SUITE #132, AUSTIN, TX 78723
(817) 531-3500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22334
TX
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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