Organization
TY ORTHO MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEN PHAN DMD (MANAGING PARTNER)
(408) 835-3726
Entity
Organization
Contact information
Practice address
801 W PARK ROW DR, ARLINGTON, TX 76013-3904
(817) 784-7888
Mailing address
8150 SPRINGWOOD DR # 150B, IRVING, TX 75063-5810
(956) 507-7253
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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