| Access Dental Of Park Lake Pa | |
|
1925 Park Lake Dr Waco TX 76708-1682 | |
| (972) 514-1689 | |
| Not Available |
| Full Name | Access Dental Of Park Lake Pa |
|---|---|
| Speciality | Dentist |
| Location | 1925 Park Lake Dr, Waco, Texas |
| Authorized Official Name and Position | Tien Dinh Phan (DENTIST) |
| Authorized Official Contact | 9725141689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Dental Of Park Lake Pa 8150 Springwood Dr # 150b Irving TX 75063-5810 Ph: () - | Access Dental Of Park Lake Pa 1925 Park Lake Dr Waco TX 76708-1682 Ph: (972) 514-1689 |
| NPI Number | 1275997082 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275997082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22334 (Texas) | Primary |
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